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

Quinn Blake Thibodeau, LPC, NCC, MCOUN

Individual provider Mental Health Counselor · NPI 1619102183

Quinn Blake Thibodeau, LPC, NCC, MCOUN is a Mental Health Counselor in Idaho Falls, Idaho. Qualified in 2009, 17 years ago. Practices with Pearl Health Clinic, a 38-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
17
Licensed in
ID
In the registry since
2009
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

1891 Grandview Ct
Idaho Falls, ID 83402-2510
Phone: (208) 681-7182
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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 LPC-4361 (ID)
Social Worker Taxonomy 104100000X

Record details

NPI number1619102183
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , NCC , MCOUN
Sole proprietorYes
NPI enumeratedMay 27, 2009
Last updated in NPPESAugust 12, 2009

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Pearl Health Clinic — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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