Individual provider Active NPI

Cody Evans, LCPC

  • Mental Health Counselor
  • Pocatello, ID
National Provider Identifier
1366756181
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-5425 Issued in ID
Practice address
475 Yellowstone Ave Ste E
Pocatello, ID 83201-4528
Phone
(208) 232-0021
Fax
(208) 232-0031
NPI assigned
Aug 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 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-5425 ID Primary

Addresses

Primary practice location

475 Yellowstone Ave Ste E
Pocatello, ID 83201-4528

Mailing address

357 W Center St Ste 210
Pocatello, ID 83204-3236
Phone (208) 417-8255

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

LicenseStateTypeSpecialty
LCPC-5425IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Counseling, Inc Mental Health Current Accepting new patients
Physicians Mental Health Services Past Accepting new patients
MVH PMHS LLC Mental Health PastSince Mar 28, 2018 Accepting new patients

Locations

357 W Center St
Ste 210
Pocatello, ID 83204
Phone (208) 757-7718

Organizations & group practices 3

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1366756181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W CENTER ST STE 210",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043236",
            "telephone_number": "208-417-8255",
            "fax_number": "208-417-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 YELLOWSTONE AVE STE E",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014528",
            "telephone_number": "208-232-0021",
            "fax_number": "208-232-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CODY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-5425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.