Organization Active NPI

Hope Mental Health, LLC

  • Mental Health Counselor
  • Idaho Falls, ID
National Provider Identifier
1780100719
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOPE MENTAL HEALTH, LLC
Practice address
381 Shoup Ave Ste 202
Idaho Falls, ID 83402-3651
Phone
(208) 497-1290
Fax
(208) 497-1290
NPI assigned
Aug 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Rachel Dee Clark, LPCNPI 1306376843
Title
Owner/Counselor
Phone
(208) 497-1290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

381 Shoup Ave Ste 202
Idaho Falls, ID 83402-3651

Mailing address

381 Shoup Ave
Ste 202
Idaho Falls, ID 83402
Phone (208) 419-0240

Other identifiers 2

IdentifierTypeStateIssuer
165979709MedicaidID
14140312OtherIDCAQH

Other names 1

  • Rachel Clark Former legal business name

National Provider Directory

National Provider Directory

Locations

381 Shoup Ave
Ste 202
Idaho Falls, ID 83402
Phone (208) 497-1290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1780100719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 SHOUP AVE",
            "address_2": "STE 202",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83402",
            "telephone_number": "208-419-0240",
            "fax_number": "208-538-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 SHOUP AVE STE 202",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023651",
            "telephone_number": "208-497-1290",
            "fax_number": "208-497-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "208-497-1290",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165979709",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14140312",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rachel Clark",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rachel Clark",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rachel Clark",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.