Core Connection
NPI 1659230902ActiveOrganization· Counselor, Mental Health· Rexburg, ID
Counselor, Mental Health in Rexburg, Idaho, registered in NPPES in January 2026. The authorized official on file is Jeremiah Woodruff, LPC, Owner.
Overview
| NPI | 1659230902 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2026 |
| Last updated in NPPES | Jul 31, 2026 |
| Certified by provider | Jul 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Counselor, Mental Health providers in Rexburg
- 1366188294
- 1104723733
- 1962149971
- 1801274790
- 1164723334
- 1841934809
- 1326990763
- 1396730735
- 1386461739
- 1508870676
- 1982480778
- 1992079016