Individual provider Active NPI

Mark Gunther Rodel, LPC

  • Professional Counselor
  • Idaho Falls, ID
National Provider Identifier
1407450216
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-4784 Issued in ID
Practice address
1262 E 17TH St
Idaho Falls, ID 83404-6147
Phone
(208) 346-0688
NPI assigned
Nov 23, 2020
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-4784 ID Primary

Addresses

Primary practice location

1262 E 17TH St
Idaho Falls, ID 83404-6147

Mailing address

1262 E 17TH St
Idaho Falls, ID 83404-6147
Phone (208) 346-0688

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@woodhousecounseling.com

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
I20240122001788 ID Practitioner - Mental Health Counselor 6901258367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodhouse Counseling LLCGroup PAC ID 9739477738, 8 clinicians

Practice addresses (Care Compare)

1262 E 17TH St
Idaho Falls, ID 83404-6126
Phone (208) 346-0688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-4784IDMDProfessional Counselor

Practice roles

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

Locations

180 N Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 346-0688

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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1407450216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046147",
            "telephone_number": "208-346-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046147",
            "telephone_number": "208-346-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEL",
        "first_name": "MARK",
        "middle_name": "GUNTHER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@woodhousecounseling.com",
            "affiliation": "N",
            "endpointDescription": "secure office email address",
            "address_1": "180 N Woodruff Ave",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834014335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.