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

Individual provider Professional Counselor · NPI 1770009854

Kathleen Victoria Poduska, LCPC is a Mental Health Counselor in Idaho Falls, Idaho. Qualified in 2014, 12 years ago. Practices with Pearl Health Clinic, a 38-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Colorado, Idaho and Montana.

Years since qualifying
12
Licensed in
CO, ID, MT
In the registry since
2017
Specialties on file
3
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

502 S Woodruff Ave
Idaho Falls, ID 83401-5298
Phone: (208) 346-7500
Fax: (208) 346-7501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 220 Summit Blvd, Broomfield, CO 80021-8257 — (406) 698-8387
  • 4159 Lowell Blvd, Denver, CO 80211-1658 — (406) 698-8387
  • 200 Plaza Dr Ste 200, Highlands Ranch, CO 80129-2348 — (303) 730-8858

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC-8421 (ID)
Professional Counselor Taxonomy 101YP2500X · Licence BBH-LCPC-LIC-23176 (MT)
Professional Counselor Taxonomy 101YP2500X · Licence 0014263 (CO)

Record details

NPI number1770009854
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedAugust 20, 2017
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pearl Health Clinic — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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