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

Kavin Branham, LCPC

Individual provider Professional Counselor · NPI 1427409051

Kavin Branham, LCPC is a Mental Health Counselor in Rexburg, Idaho. Qualified in 2016, 10 years ago. Practices with Upper Valley Community Health Services Inc, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2016
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

72 S 1st E Ste 103
Rexburg, ID 83440-1965
Phone: (208) 356-4900
Fax: (208) 624-4030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 335 E Main St Ste 3, Saint Anthony, ID 83445-1546 — (208) 356-4900
  • 454 Jeanine Cir, Sugar City, ID 83448-5085 — (208) 206-2786

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LCPC-7894 (ID)

Record details

NPI number1427409051
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedJune 24, 2016
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing addressPo Box 18, Saint Anthony, ID 83445-0018

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Upper Valley Community Health Services Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rexburg