Luke Einerson, PHD, LMFT, RH
Individual provider Active NPI Marriage & Family Therapist · Rexburg, ID
NPI 1366836967 · NPPES record last updated Aug 30, 2021
Key facts
- NPI
- 1366836967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 5636 (ID)
- Practice address
- 101 E Main St Ste 210
Rexburg, ID 83440-2017 - Phone
- (208) 357-3104
- Fax
- (888) 990-2826
- NPI assigned
- Mar 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5636 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Counseling and Wellness, Inc. | Current | Accepting new patients |
Locations
101 E Main St
Ste 210
Rexburg, ID 83440
Phone (208) 235-7310
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 5636 | ID | Yes |
Addresses
Primary practice location
101 E Main St Ste 210
Rexburg, ID 83440-2017
Mailing address
101 E Main St Ste 210
Rexburg, ID 83440-2017
Phone (208) 357-3104
Other providers in Rexburg, ID
- Eagle Rock Dental Care of Rexburg
- Eagle Vision Center PC
- East Idaho Mental Health LLC
- Brad Richard Egbert
- Amie R Einerson
- Jeffrey Lee Elder II
- Elevated Chiropractic LLC
- Kristina Michele Elliott
- Angela Luana Ellis
- Embody Health
All providers in Rexburg, ID · Marriage & Family Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.