Individual provider Active NPI

Pamela Brown, LCPC

  • Mental Health Counselor
  • Rexburg, ID
National Provider Identifier
1245603901
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-7941 Issued in ID
Practice address
420 W 4TH S
Rexburg, ID 83440-2319
Phone
(208) 656-4017
Fax
(208) 524-8004
NPI assigned
Nov 3, 2015
Last updated
Sep 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC-7941 ID Primary

Addresses

Primary practice location

420 W 4TH S
Rexburg, ID 83440-2319

Mailing address

420 W 4TH S
Rexburg, ID 83440-2319
Phone (208) 656-4017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131004756 ID Practitioner - Mental Health Counselor 8325491830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tueller Counseling IncGroup PAC ID 0547585895, 20 clinicians

Practice addresses (Care Compare)

2275 W Broadway St
Suite G
Idaho Falls, ID 83402-2902
Phone (208) 524-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-7941IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tueller Counseling Inc Counselor CurrentSince Oct 1, 2024 Accepting new patients
Tueller Counseling Inc PastSince May 18, 2025 Accepting new patients

Locations

2265 W Broadway St
Idaho Falls, ID 83402
Phone (208) 524-7400

2275 W Broadway St
Ste G
Idaho Falls, ID 83402
Phone (208) 524-7400

420 W 4th S
Rexburg, ID 83440
Phone (208) 656-4017

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": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1245603901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 4TH S",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402319",
            "telephone_number": "208-656-4017",
            "fax_number": "208-524-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 4TH S",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402319",
            "telephone_number": "208-656-4017",
            "fax_number": "208-524-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAMELA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-7941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.