Individual provider Active NPI

Elizabeth Clark Stephenson, LCPC

  • Mental Health Counselor
  • Rexburg, ID
National Provider Identifier
1932653870
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-7104 Issued in ID
Practice address
859 S Yellowstone Hwy # 2201
Rexburg, ID 83440-5293
Phone
(208) 649-8300
NPI assigned
Aug 9, 2016
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC-7104 ID Primary
Professional Counselor 101YP2500X LPC-6179 ID

Addresses

Primary practice location

859 S Yellowstone Hwy # 2201
Rexburg, ID 83440-5293

Mailing address

342 W 1St S Apt 101
Rexburg, ID 83440-5133
Phone (208) 671-1537

Other names 1

  • Liz Stephenson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 18, 2024 through Dec 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-7104IDMDMental Health Counselor
LPC-6179IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Ed Counseling, LLC Professional CurrentSince Dec 22, 2024 Accepting new patients
Revolutions Therapy PLLC Current Accepting new patients

Locations

859 S Yellowstone Hwy
Ste 2201
Rexburg, ID 83440
Phone (208) 649-8300

Organizations & group practices 2

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": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1932653870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 W 1ST S APT 101",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405133",
            "telephone_number": "208-671-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 S YELLOWSTONE HWY # 2201",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405293",
            "telephone_number": "208-649-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "ELIZABETH",
        "middle_name": "CLARK",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-7104",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-6179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "STEPHENSON",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.