Active NPI
Rachel Clark, LPC
- Mental Health Counselor
- Idaho Falls, ID
National Provider Identifier
1306376843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-9662
- Practice address
- 381 Shoup Ave Ste 202
Idaho Falls, ID 83402-3651 - Phone
- (208) 497-1290
- NPI assigned
- Jun 18, 2017
- Last updated
- Oct 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-9662 | ID | Primary |
Addresses
Primary practice location
381 Shoup Ave Ste 202
Idaho Falls, ID 83402-3651
Mailing address
440 Tie Breaker Dr
Ammon, ID 83406-4526
Phone (208) 497-1290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165979709 | Medicaid | ID |
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 |
|---|---|---|---|
| LPC-9662 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Mental Health, LLC | Mental Health | Current | Accepting new patients |
Locations
381 Shoup Ave
Ste 202
Idaho Falls, ID 83402
Phone (208) 497-1290
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1306376843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 TIE BREAKER DR",
"city": "AMMON",
"state": "ID",
"postal_code": "834064526",
"telephone_number": "208-497-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 SHOUP AVE STE 202",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023651",
"telephone_number": "208-497-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "RACHEL",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LPC-9662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165979709",
"state": "ID"
}
],
"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 Oct 23, 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.