Active NPI
Mitchell Ray Barney, LSMW
- Mental Health Counselor
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMSW-41015
- Practice address
- 1820 E 17TH St Ste 115
Idaho Falls, ID 83404-6472 - Phone
- (208) 520-7074
- Fax
- (208) 970-6188
- NPI assigned
- Dec 14, 2020
- Last updated
- Jun 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW-41015 | ID | Primary |
| Social Worker | 104100000X | LMSW-41015 | ID |
Addresses
Primary practice location
1820 E 17TH St Ste 115
Idaho Falls, ID 83404-6472
Mailing address
1820 E 17TH St Ste 115
Idaho Falls, ID 83404-6472
Phone (208) 520-7074
Other practice location 1
275 S 5th Ave Ste 146
Pocatello, ID 83201-6400
Phone (208) 696-2628
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-41015 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odyssey Mental Wellness PC | Current | Accepting new patients |
Locations
482 Constitution Way
Ste 109
Idaho Falls, ID 83402
Phone (208) 696-2628
1820 E 17th St
Ste 115
Idaho Falls, ID 83404
275 S 5th Ave
Ste 146
Pocatello, ID 83201
Phone (208) 696-2628
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1023831468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1225624281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 E 17TH ST STE 115",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046472",
"telephone_number": "208-520-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 E 17TH ST STE 115",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046472",
"telephone_number": "208-520-7074",
"fax_number": "208-970-6188"
}
],
"practiceLocations": [
{
"address_1": "275 S 5th Ave Ste 146",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832016400",
"country_code": "US",
"telephone_number": "208-696-2628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARNEY",
"first_name": "MITCHELL",
"middle_name": "RAY",
"credential": "LSMW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-14",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LMSW-41015",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-41015",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.