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STEPHANIE LEE BRANNON LCPC
NPI 1285149732
Counselor - Professional in Chubbuck, ID

Active since December 06, 2017PECOS Enrolled
210 W BURNSIDE AVE STE A, CHUBBUCK, ID 83202(208) 238-9000 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Dec 6, 2017 (2 updates tracked since 2017).

About Stephanie Lee Brannon Lcpc NPPES

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

STEPHANIE LEE BRANNON LCPC (NPI 1285149732) is an individual professional provider in Chubbuck, Idaho, licensed in Idaho (8331444) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285149732
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHANIE LEE BRANNONCredential: LCPC
Location Address210 W BURNSIDE AVE STE AChubbuck, ID 83202-4916
Mailing Address210 W Burnside Ave Ste AChubbuck, ID 83202-4916 · (208) 238-9000
Phone(208) 238-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 6, 2017
Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1285149732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · 8331444
210 W BURNSIDE AVE STE A, Chubbuck, ID 83202
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Other Names 1

Other Name (5)Stephanie Lee Brannon

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Lee Brannon Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951744416
PECOS Enrollment IDI20240212003108
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 11

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

KENRIC GLENN GORDON LMSW
Social Worker
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202
Bannock County (208) 238-9000
MR. JAMES F BAKAITIS LCPC
Counselor (Professional)
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202
Bannock County (313) 383-0033
RAMONA L. MEDICINE HORSE LMSW
Social Worker (Clinical)
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202
Bannock County (208) 238-9000
SAEWARD O'NEILL LPC
Counselor (Mental Health)
210 W BURNSIDE AVE STE A
POCATELLO, ID 83202
Bannock County (208) 238-9000
KAYLA R FRANDSEN LMSW
Social Worker (Clinical)
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202
Bannock County (208) 238-9000
THOMAS PUTNAM LPC
Counselor (Mental Health)
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202
Bannock County (208) 238-9000
RUTH NIELSON ADAMSON LMSW-380
Counselor (Mental Health)
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202
Bannock County (208) 238-9000
DR. ERIN KATHLEEN SULLIVAN BAKER RN M COUN,LPC MS PHD
Counselor (Mental Health)
210 W BURNSIDE AVE STE A
CHUBBUCK, ID 83202
Bannock County (208) 233-2051

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 Stephanie Brannon's NPI number?

The NPI number for Stephanie Brannon is 1285149732. It was assigned to this individual provider in the NPPES registry on December 6, 2017. The provider is also known as Stephanie Lee Brannon.

Where is Stephanie Brannon located?

Stephanie Brannon practices at 210 W Burnside Ave Ste A, Chubbuck, ID 83202. The listed phone number is (208) 238-9000.

What is Stephanie Brannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stephanie Brannon enrolled in Medicare?

Yes. Stephanie Brannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Brannon was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.