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

Johnathan Koelsch, LMSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1326409913

Johnathan Koelsch, LMSW is a Clinical Social Worker in Ammon, Idaho. Qualified in 2012, 14 years ago. Practices with 4 Pillars of Success LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1675 Curlew Dr
Ammon, ID 83406-4850
Phone: (208) 523-5319
Fax: (208) 523-5627
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-38371 (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LMSW-34382 (ID)

Record details

NPI number1326409913
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedMarch 10, 2016
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing addressPo Box 2106, Idaho Falls, ID 83403-2106

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice 4 Pillars Of Success Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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