Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Idaho Mental Health LLC

Organization Counselor · NPI 1629825526

East Idaho Mental Health LLC is a Counselor in Rexburg, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

859 S Yellowstone Hwy Ste 3201
Rexburg, ID 83440-6200
Phone: (208) 359-2101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1629825526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Destin Thayne — Administrator · (208) 359-2101
NPI enumeratedApril 30, 2024
Last updated in NPPESJune 3, 2025
Certification dateMay 28, 2025
Mailing address859 S Yellowstone Hwy Ste 3201, Rexburg, ID 83440-6200

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