Individual provider Active NPI

Jonathan Arthur Austad

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rexburg, ID
National Provider Identifier
1669385464
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1381831 Issued in ID
Practice address
343 E 4TH N Ste 235
Rexburg, ID 83440-6009
Phone
(208) 243-9526
Fax
(208) 366-1969
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1381831 ID Primary

Addresses

Primary practice location

343 E 4TH N Ste 235
Rexburg, ID 83440-6009

Mailing address

343 E 4TH N Ste 235
Rexburg, ID 83440-6009
Phone (208) 243-9526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1669385464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E 4TH N STE 235",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406009",
            "telephone_number": "208-243-9526",
            "fax_number": "208-366-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E 4TH N STE 235",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406009",
            "telephone_number": "208-243-9526",
            "fax_number": "208-366-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTAD",
        "first_name": "JONATHAN",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "1381831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.