Individual provider Active NPI

Doug Hulett, LCPC

  • Professional Counselor
  • Idaho Falls, ID
National Provider Identifier
1467562603
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-8868 Issued in ID
Practice address
496 A St
Idaho Falls, ID 83402-3617
Phone
(208) 552-7100
Fax
(208) 552-7101
NPI assigned
Aug 30, 2006
Last updated
Mar 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 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 LCPC-8868 ID Primary

Addresses

Primary practice location

496 A St
Idaho Falls, ID 83402-3617

Mailing address

566 E 13TH St
Idaho Falls, ID 83404-5363
Phone (208) 552-7100

Other identifiers 1

IdentifierTypeStateIssuer
806110000MedicaidID

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
I20240206004454 ID Practitioner - Mental Health Counselor 7810330891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearl Health ClinicGroup PAC ID 0840356077, 38 clinicians

Practice addresses (Care Compare)

2705 E 17TH St
Ammon, ID 83406-6601
Phone 2083467500506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Health Clinic Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Counseling Center of Southeast Idaho Past Accepting new patients

Locations

2705 E 17th St
Ammon, ID 83406
Phone (208) 346-7501

725 S Woodruff Ave
Ste 101
Idaho Falls, ID 83401

500 S 11th Ave
Ste 203
Pocatello, ID 83201
Phone (208) 232-0208

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1467562603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 E 13TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045363",
            "telephone_number": "208-552-7100",
            "fax_number": "208-552-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 A ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023617",
            "telephone_number": "208-552-7100",
            "fax_number": "208-552-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULETT",
        "first_name": "DOUG",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-8868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806110000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.