Active NPI
Corie J Poulsen, LCPC
- Professional Counselor
- Twin Falls, ID
National Provider Identifier
1881777456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-116
- Practice address
- 140 Hansen St E
Ste 9
Twin Falls, ID 83301 - Phone
- (208) 733-7941
- Fax
- (208) 733-5415
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC-116 | ID | |
| Professional Counselor | 101YP2500X | LCPC-116 | ID | Primary |
Addresses
Primary practice location
140 Hansen St E
Ste 9
Twin Falls, ID 83301
Mailing address
140 Hansen St E
Ste 9
Twin Falls, ID 83301
Phone (208) 733-7941
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010016857 | Other | ID | BLUE SHIELD |
| Q5795 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-116 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1881777456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 HANSEN ST E",
"address_2": "STE 9",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "83301",
"telephone_number": "208-733-7941",
"fax_number": "208-733-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HANSEN ST E",
"address_2": "STE 9",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "83301",
"telephone_number": "208-733-7941",
"fax_number": "208-733-5415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULSEN",
"first_name": "CORIE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCPC-116",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00010016857",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Q5795",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.