Individual provider Active NPI

Elizabeth Macklin, LCPC

  • Counselor
  • Pocatello, ID
National Provider Identifier
1588219497
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LCPC-8492 Issued in ID
Practice address
444 Hospital Way Ste 477
Pocatello, ID 83201-2744
Phone
(208) 233-7832
NPI assigned
Aug 7, 2019
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LCPC-8492 ID Primary

Addresses

Primary practice location

444 Hospital Way Ste 477
Pocatello, ID 83201-2744

Mailing address

1373 Jensen St
Pocatello, ID 83201-6019
Phone (208) 406-4235

Other practice location 1

845 W Center St Ste C108
Pocatello, ID 83204-4205
Phone (208) 753-7723

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
I20231127001839 ID Practitioner - Mental Health Counselor 5890157861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Portneuf Valley Family CenterGroup PAC ID 6901807718, 8 clinicians

Practice addresses (Care Compare)

444 Hospital Way
Suite 477
Pocatello, ID 83201-2744
Phone (208) 233-7832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-7354IDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Portneuf Valley Family Center Counselor CurrentSince Jan 1, 2024 Accepting new patients

Locations

444 Hospital Way
Ste 477
Pocatello, ID 83201
Phone (208) 233-7832

15 W Center St
Ste 2
Soda Springs, ID 83276
Phone (208) 547-4470

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1588219497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 JENSEN ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016019",
            "telephone_number": "208-406-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 477",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012744",
            "telephone_number": "208-233-7832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 W Center St Ste C108",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832044205",
            "country_code": "US",
            "telephone_number": "208-753-7723",
            "fax_number": "208-213-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKLIN",
        "first_name": "ELIZABETH",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC-8492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.