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

Mr. Cody Lee Carlson, LPC

Individual provider Professional Counselor · NPI 1790262871

Mr. Cody Lee Carlson, LPC is a Mental Health Counselor in Idaho Falls, Idaho. Qualified in 2018, 8 years ago. Practices with Tueller Counseling Inc, a 23-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902
Phone: (208) 524-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1790262871
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJuly 23, 2018
Last updated in NPPESJuly 23, 2018

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Tueller Counseling Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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