Active NPI
Richard Harold Degraw, LCPC
- Professional Counselor
- Rexburg, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-7843
- Practice address
- 393 E 2ND N
Rexburg, ID 83440-1605 - Phone
- (208) 359-4840
- Fax
- (208) 359-9010
- NPI assigned
- Aug 28, 2018
- Last updated
- May 15, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC-7843 | ID | Primary |
Addresses
Primary practice location
393 E 2ND N
Rexburg, ID 83440-1605
Mailing address
393 E 2ND N
Rexburg, ID 83440-1605
Phone (208) 359-4840
Other practice location 1
3453 Clearview Ln
Ammon, ID 83406-4702
Phone (208) 359-4840
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
393 E 2ND
Rexburg, ID 83440-1605
Phone (208) 359-4840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-7843 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerpoint Counseling Services, LLC | Professional | Current | Accepting new patients |
Locations
3453 Clearview Ln
Ammon, ID 83406
Phone (208) 359-4840
393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401
393 E 2nd N
Bsmt
Rexburg, ID 83440
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.
-
dba Centerpoint Counseling
- Community/Behavioral Health Agency
- Rexburg, ID
- NPI 1134458102
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1275014045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 E 2ND N",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401605",
"telephone_number": "208-359-4840",
"fax_number": "208-359-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 E 2ND N",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401605",
"telephone_number": "208-359-4840",
"fax_number": "208-359-9010"
}
],
"practiceLocations": [
{
"address_1": "3453 Clearview Ln",
"address_purpose": "LOCATION",
"city": "Ammon",
"state": "ID",
"postal_code": "834064702",
"country_code": "US",
"telephone_number": "208-359-4840",
"fax_number": "208-359-9010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEGRAW",
"first_name": "RICHARD",
"middle_name": "HAROLD",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-28",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-7843",
"primary": true
}
],
"identifiers": [],
"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 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.