East Idaho Mental Health LLC
NPI 1629825526ActiveOrganization· Counselor· Rexburg, ID
Counselor in Rexburg, Idaho, registered in NPPES in April 2024. The authorized official on file is Destin Thayne, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629825526 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2024 |
| Last updated in NPPES | Jun 3, 2025 |
| Certified by provider | May 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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