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

North Fork Counseling Services, LLC

Organization Clinical Social Worker · NPI 1730873811

North Fork Counseling Services, LLC is a Clinical Social Worker in Rexburg, Idaho. Registered with an NPI since 2023.

In the registry since
2023
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

2691 S 2000 W
Rexburg, ID 83440-4049
Phone: (208) 701-9616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1730873811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Burnham — Owner/Manager · (208) 201-1300
NPI enumeratedJune 2, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023
Mailing addressPo Box 64, Sugar City, ID 83448-0064

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