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

Kendra Lyn Bagshaw, LCPC

Individual provider Mental Health Counselor · NPI 1992079016

Kendra Lyn Bagshaw, LCPC is a Mental Health Counselor in Rexburg, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2012
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

343 E 4th N Ste 116
Rexburg, ID 83440-6003
Phone: (208) 201-6990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC-6837 (ID)

Record details

NPI number1992079016
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedMarch 7, 2012
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

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