Active NPI
Hope Mental Health, LLC
- Mental Health Counselor
- Idaho Falls, ID
National Provider Identifier
1780100719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Dee Clark, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165979709 | Medicaid | ID | |
| 14140312 | Other | ID | CAQH |
Other names 1
- Rachel Clark
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Idaho Falls, ID
- NPI 1306376843
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.