Individual provider Active NPI

Mark Edward Hobbs

  • Social Worker
  • Rexburg, ID
National Provider Identifier
1669923942
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW-34786 Issued in ID
Practice address
242 E 7TH N
Suite #4
Rexburg, ID 83440-3550
Phone
(208) 359-9683
NPI assigned
Oct 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW-34786 ID Primary

Addresses

Primary practice location

242 E 7TH N
Suite #4
Rexburg, ID 83440-3550

Mailing address

715 Lupine Cir
Rexburg, ID 83440-1701
Phone (208) 881-2740

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
I20250612000944 ID Practitioner - Clinical Social Worker 8022528538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ostermiller Counseling Services, Inc.Group PAC ID 3476896911, 5 clinicians

Practice addresses (Care Compare)

242 E 7TH
Suite 4
Rexburg, ID 83440-3550
Phone (208) 359-9683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW-34786IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ostermiller Counseling Services Inc. CurrentSince Mar 13, 2025 Accepting new patients

Locations

242 E 7th N
Ste 4
Rexburg, ID 83440
Phone (208) 359-9683

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1669923942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LUPINE CIR",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401701",
            "telephone_number": "208-881-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E 7TH N",
            "address_2": "SUITE #4",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834403550",
            "telephone_number": "208-359-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW-34786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.