Active NPI
James M Brannon, ED.D.
- Counseling Psychologist
- Rexburg, ID
National Provider Identifier
1518090604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY 266
- Practice address
- 534 Trejo Street
Suite 100
Rexburg, ID 83440 - Phone
- (208) 359-0556
- Fax
- (208) 356-9498
- NPI assigned
- Mar 14, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 266 | ID | |
| Counseling Psychologist | 103TC1900X | PSY 266 | ID | Primary |
Addresses
Primary practice location
534 Trejo Street
Suite 100
Rexburg, ID 83440
Mailing address
534 Trejo Street
Suite 100
Rexburg, ID 83440
Phone (208) 359-0556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010016779 | Other | ID | REGENCE BLUE SHIELD OF ID |
| N2662 | Other | ID | BLUE CROSS OF IDAHO |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 266 | ID | MD | Counseling Psychologist |
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.
-
- Adult Mental Health Clinic/Center
- Rexburg, ID
- NPI 1023141116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1518090604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 TREJO STREET",
"address_2": "SUITE 100",
"city": "REXBURG",
"state": "ID",
"postal_code": "83440",
"telephone_number": "208-359-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 TREJO STREET",
"address_2": "SUITE 100",
"city": "REXBURG",
"state": "ID",
"postal_code": "83440",
"telephone_number": "208-359-0556",
"fax_number": "208-356-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNON",
"first_name": "JAMES",
"middle_name": "M",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ID",
"license": "PSY 266",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "ID",
"license": "PSY 266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "0010016779",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "N2662",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rexburg, ID
- Brad Egbert Chiropractic LLC
- Dustin Zachary Brady
- Debra Brand, MD
- Kavin Branham, LCPC
- Brannon & Brannon Psychological Services PA
- Marilyn E Brannon, PH.D.
- Brian W Christensen M.D. PA
- Briarwood Safe House LLC (Briarwood Safe House)
- Alexander Ray Brinkley, PTA
- Broulim Supermarkets, LLC (Broulim's Pharmacy #6 - Rexburg)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.