Individual provider Active NPI

Isaac Nelson, LCPC

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1306497227
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-8861 Issued in ID
Practice address
550 2ND St Ste 229
Idaho Falls, ID 83401-3900
Phone
(208) 643-3639
NPI assigned
Sep 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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-8861 ID Primary

Addresses

Primary practice location

550 2ND St Ste 229
Idaho Falls, ID 83401-3900

Mailing address

PO Box 2426
Idaho Falls, ID 83403-2426
Phone (208) 643-3639

Other practice location 1

393 E 2nd N
Rexburg, ID 83440-1605
Phone (208) 359-4840

Other practice location 2

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112004114 ID Practitioner - Mental Health Counselor 7113379207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerpoint Counseling Services LLCGroup PAC ID 1456754373, 12 clinicians

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

LicenseStateTypeSpecialty
LCPC-8861IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpoint Counseling Services, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

3453 Clearview Ln
Ammon, ID 83406
Phone (208) 359-4840

393 E 2nd N
Bsmt
Rexburg, ID 83440

393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1306497227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2426",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032426",
            "telephone_number": "208-643-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 2ND ST STE 229",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013900",
            "telephone_number": "208-643-3639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 E 2nd N",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401605",
            "country_code": "US",
            "telephone_number": "208-359-4840",
            "fax_number": "208-359-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "NELSON",
        "first_name": "ISAAC",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-8861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.