IndividualActive
Jerrilynne Wood, LCPC-4457
NPI 1568898013 · Mental Health Counselor · Idaho Falls, ID
Provider details
- NPI number
- 1568898013
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC-4457
- Sex
- Female
- Sole proprietor
- No
- License
- LCPC4457 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 E 16th St
Idaho Falls, ID 83404-5919
Phone: (208) 552-2109
Street-level locationGet directions
Mailing address
111 E 16th St
Idaho Falls, ID 83404-5919
Registry dates
- Enumerated
- 2013-09-16
- Last updated
- 2013-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.