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OBSIDIAN COUNSELING LLC
NPI 1205720364
Social Worker - Clinical in Pocatello, ID

Active since June 04, 2025
200 S MAIN ST STE P1, POCATELLO, ID 83204(208) 244-6799(208) 274-9407 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Obsidian Counseling Llc NPPES

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

OBSIDIAN COUNSELING LLC (NPI 1205720364) is a healthcare organization registered as a clinical in Pocatello, Idaho and active in the NPI registry since June 2025. The organization lists Yesenia Ibarra Trejo, Owner, as its authorized official.

NPPES Registry Identity

NPI1205720364
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameOBSIDIAN COUNSELING LLC
Location Address200 S MAIN ST STE P1Pocatello, ID 83204-3261
Mailing Address200 S Main St Ste P1Pocatello, ID 83204-3261 · (208) 244-6799 · Fax (208) 274-9407
Phone(208) 244-6799
Fax(208) 274-9407
Organization SubpartNo
Authorized OfficialYesenia Ibarra TrejoOwner · (208) 244-6799
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1205720364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
200 S MAIN ST STE P1, Pocatello, ID 83204
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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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obsidian Counseling LLC's NPI number?

The NPI number for Obsidian Counseling LLC is 1205720364. It was assigned to this organization in the NPPES registry on June 4, 2025.

Where is Obsidian Counseling LLC located?

Obsidian Counseling LLC is located at 200 S Main St Ste P1, Pocatello, ID 83204. The listed phone number is (208) 244-6799.

What is Obsidian Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Obsidian Counseling LLC was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.