Obsidian Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OBSIDIAN COUNSELING LLC

Practice address

200 S Main St Ste P1
Pocatello, ID 83204-3261

Phone

(208) 244-6799

Fax

(208) 274-9407

NPI assigned

Jun 4, 2025

Organization subpart

No

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

Authorized official

Name

Yesenia Ibarra Trejo, LCSW

Title

Owner

Phone

(208) 244-6799

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yesenia Ruby Ibarra, LCSW

  • Clinical Social Worker
  • Pocatello, ID
  • NPI 1649684119
  NPD

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1205720364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST STE P1",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043261",
            "telephone_number": "208-244-6799",
            "fax_number": "208-274-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST STE P1",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043261",
            "telephone_number": "208-244-6799",
            "fax_number": "208-274-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSIDIAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "TREJO",
        "authorized_official_first_name": "YESENIA",
        "authorized_official_middle_name": "IBARRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-244-6799",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel O'Keef, DPT
• Elizabeth Anne O'Neil, AUD
• Saeward O'Neill, LPC
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• Melissa Odegard, LPC
• Shaloam Ofisa, D.C., M.S.
• Jordan Ohmie, DPT
• Kelley J Olenick, AU.D.
• Kathleen Olivarez

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.