Idaho Ed Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

IDAHO ED COUNSELING, LLC

Doing business as

Rexburg Counseling and Eating Disorder Center

Practice address

859 S Yellowstone Hwy # 2201
Rexburg, ID 83440-5293

Phone

(208) 705-5239

NPI assigned

Oct 17, 2024

Last updated

Oct 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth C Stephenson, LCPCNPI 1932653870

Title

Owner

Phone

(208) 705-5239

Specialties & licenses 1

Addresses

Other names 1

• Rexburg Counseling and Eating Disorder Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Clark Stephenson, LCPC

  • Mental Health Counselor
  • Rexburg, ID
  • NPI 1932653870

  Professional

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1184445645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 W 1ST S APT 101",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405133",
            "telephone_number": "208-705-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY # 2201",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405293",
            "telephone_number": "208-705-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO ED COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-705-5239",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rexburg Counseling and Eating Disorder Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Ern Hymas, M.D.
• Idaho Counseling
• Idaho Dept of Health & Welfare Region 7 Amh PSR Rexburg
• Idaho Dept of Health & Welfare Region 7 CMH Clinic Rexburg
• Idaho Dept of Health & Welfare Region 7 CMH PSR Rexburg
• Idaho in-Home Health & Social Services LLC
• Idaho Lung and Heart
• Idaho Urology 1 PLLC (Mountain West Urology)
• Karen O Ili
• Integrated Counseling and Wellness, Inc. (Integrated Counseling and Wellness)

• Professional Counselor in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.