VON POLL
NPI 1164796223
Marriage & Family Therapist in Rexburg, ID

Q: What is Von Poll's NPI number?

The NPI number for Von Poll is 1164796223. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Q: What is Von Poll's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Von Poll was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 06, 2012PECOS Enrolled

859 S YELLOWSTONE HWY STE 3201, REXBURG, ID 83440(208) 359-2101 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Von Poll NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VON POLL (NPI 1164796223) is an individual marriage & family therapist in Rexburg, Idaho and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164796223

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameVON POLL

Location Address859 S YELLOWSTONE HWY STE 3201Rexburg, ID 83440-6200

Mailing Address237 26th StOgden, UT 84401-3105 · (801) 625-3700

Phone(208) 359-2101

Sole ProprietorYes

Enumeration DateMarch 6, 2012

Last NPPES UpdateMay 29, 2025

NPPES CertifiedMay 29, 2025

✔ NPI 1164796223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

859 S YELLOWSTONE HWY STE 3201, Rexburg, ID 83440

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Other Identifiers 2

Medicaid876000308007UT

Other260022408UT · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Von Poll is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDON TAYLOR NMD

Naturopath