Individual provider Active NPI

Kenneth Roy Marlowe, LCPC

  • Professional Counselor
  • Ammon, ID
National Provider Identifier
1922335678
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC2685 Issued in ID
Practice address
1675 Curlew Dr
Ammon, ID 83406-4718
Phone
(208) 523-5319
Fax
(208) 523-5627
NPI assigned
Nov 17, 2009
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC2685 ID Primary

Addresses

Primary practice location

1675 Curlew Dr
Ammon, ID 83406-4718

Mailing address

PO Box 2106
Idaho Falls, ID 83403-2106
Phone (208) 523-5319

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
I20240925003447 ID Practitioner - Mental Health Counselor 0941741334 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC2685IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
4 Pillars of Success LLC CurrentSince Jul 15, 2024 Accepting new patients
4 Pillars of Success LLC Clinical Current Accepting new patients
4 Pillars of Success LLC Clinical CurrentSince Jul 15, 2024 Accepting new patients

Locations

1675 Curlew Dr
Ammon, ID 83406
Phone (208) 523-5319

1970 E 17th St
Ste 202
Idaho Falls, ID 83404
Phone (208) 523-5319

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1922335678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2106",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032106",
            "telephone_number": "208-523-5319",
            "fax_number": "208-523-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CURLEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064718",
            "telephone_number": "208-523-5319",
            "fax_number": "208-523-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOWE",
        "first_name": "KENNETH",
        "middle_name": "ROY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC2685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

Verify at the official NPI Registry.