REXBURG COUNSELING
NPI 1164723334
Counselor - Mental Health in Rexburg, ID

NPI Status: Active since November 04, 2010

Contact Information

343 E 4TH N
SUITE 244
REXBURG, ID
ZIP 83440
Phone: (208) 356-0088

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  • Organization
  • Counselor
  • Mental Health
  • Accepts Insurance
  • CLIA Number: 13D0962844
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 10-25-2025

About REXBURG COUNSELING

This page provides the complete NPI Profile along with additional information for Rexburg Counseling, a provider established in Rexburg, Idaho operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1164723334 assigned on November 2010. The practitioner's primary taxonomy code is 101YM0800X with license number LCPC-2823 (ID). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Rexburg Counseling. The authorized official of this NPI record is Mr. Scott Kay Andersen Lcpc (Owner)

NPI
1164723334
Provider Legal Name
JJST ENTERPRISES CORP.
Other Organization Name
REXBURG COUNSELING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
343 E 4TH N SUITE 244 REXBURG, ID 83440
Location Phone
(208) 356-0088
Mailing Address
343 E 4TH N SUITE 244 REXBURG, ID 83440
Mailing Phone
(208) 356-0088
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2010
Last Update Date
11-08-2011
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A mental health counselor like Rexburg Counseling provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
LCPC-2823
License State
ID

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. SCOTT KAY ANDERSEN LCPC

Authorized Official Title
OWNER
Authorized Official Phone
(208) 356-0088

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1508870676MEDICAID (05)ID 
1508870676OTHER (01)IDBLUE CROSS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D0962844
Facility Type
Rural Health Clinic
Certificate Effective Date
October 26, 2023
Certificate Expiration Date
October 25, 2025
Laboratory Director
DAVID F. DANIELS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Rexburg Counseling after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for REXBURG COUNSELING

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164723334, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 2 + 6 + 3 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1164723334.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
343 E 4TH N, SUITE 244
REXBURG, ID 83440
Social Worker (Clinical)
343 E 4TH N, #204
REXBURG, ID 83440
Community/Behavioral Health
343 E 4TH N
REXBURG, ID 83440

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164723334, enumerated as an "organization" on November 04, 2010.

The provider is located at 343 E 4TH N SUITE 244 REXBURG, ID 83440 and the phone number is (208) 356-0088.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Moda Health Plan, Inc., University of Utah Health. Please consult your insurance carrier or call the provider to verify.