Active NPI
Olive Branch Counseling
- Clinical Social Worker
- Idaho Falls, ID
National Provider Identifier
1811896392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- OLIVE BRANCH COUNSELING
- Practice address
- 2539 Channing Way Ste 102
Idaho Falls, ID 83404-7557 - Phone
- (208) 541-1451
- Fax
- (208) 875-7384
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- 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
- Susannah Pipkin, PHD
- Title
- Owner
- Phone
- (208) 541-1451
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2539 Channing Way Ste 102
Idaho Falls, ID 83404-7557
Mailing address
2539 Channing Way Ste 102
Idaho Falls, ID 83404-7557
Phone (208) 541-1451
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Idaho Falls, ID
- NPI 1275092728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793577600000",
"number": "1811896392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2539 CHANNING WAY STE 102",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047557",
"telephone_number": "208-541-1451",
"fax_number": "208-875-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2539 CHANNING WAY STE 102",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047557",
"telephone_number": "208-541-1451",
"fax_number": "208-875-7384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVE BRANCH COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A",
"authorized_official_last_name": "PIPKIN",
"authorized_official_first_name": "SUSANNAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-541-1451",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.