Active NPI
Von Poll
- Marriage & Family Therapist
- Rexburg, ID
National Provider Identifier
1164796223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 859 S Yellowstone Hwy Ste 3201
Rexburg, ID 83440-6200 - Phone
- (208) 359-2101
- NPI assigned
- Mar 6, 2012
- Last updated
- May 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
859 S Yellowstone Hwy Ste 3201
Rexburg, ID 83440-6200
Mailing address
237 26TH St
Ogden, UT 84401-3105
Phone (801) 625-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260022408 | Other | UT | RAILROAD MEDICARE |
| 876000308007 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Idaho Mental Health LLC | Single Specialty | Current | Accepting new patients |
| Destin Thayne Bep Inc | Single Specialty | Current | Accepting new patients |
Locations
859 S Yellowstone Hwy
Ste 3201
Rexburg, ID 83440
Phone (208) 359-2101
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1164796223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 26TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844013105",
"telephone_number": "801-625-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 S YELLOWSTONE HWY STE 3201",
"city": "REXBURG",
"state": "ID",
"postal_code": "834406200",
"telephone_number": "208-359-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLL",
"first_name": "VON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-06",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260022408",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "876000308007",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.