East Idaho Mental Health LLC
NPI 1629825526 · Counselor · Rexburg, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Idaho Mental Health LLC is a Counselor organization in Rexburg, ID (NPI 1629825526).
Provider details
- NPI number
- 1629825526
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Destin Thayne, Administrator(208) 359-2101
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-04-30
- Last updated
- 2025-06-03
- Certified
- 2025-05-28
Frequently asked questions
- What is East Idaho Mental Health LLC's NPI number?
- East Idaho Mental Health LLC's National Provider Identifier (NPI) is 1629825526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Idaho Mental Health LLC?
- East Idaho Mental Health LLC is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is East Idaho Mental Health LLC located?
- East Idaho Mental Health LLC's practice location on file with NPPES is 859 S Yellowstone Hwy Ste 3201, Rexburg, ID 83440-6200.
- What is East Idaho Mental Health LLC's phone number?
- The practice phone number listed in the NPPES registry for East Idaho Mental Health LLC is (208) 359-2101.
- Does East Idaho Mental Health LLC accept Medicare?
- East Idaho Mental Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Idaho Mental Health LLC?
- The authorized official listed on East Idaho Mental Health LLC's NPPES record is Destin Thayne, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Idaho Mental Health LLC's NPI active?
- Yes — East Idaho Mental Health LLC's NPI (1629825526) is active in the NPPES registry as of the last update on 2025-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.