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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEREMIAH WOODRUFF LPC
NPI 1376400978
Counselor - Mental Health in Rexburg, ID

Active since January 06, 2026
859 S YELLOWSTONE HWY STE 302, REXBURG, ID 83440(208) 557-1227 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, Mar 6, 2026, Jan 20, 2026 and 2 more (5 updates tracked since 2026).

About Jeremiah Woodruff Lpc NPPES

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

JEREMIAH WOODRUFF LPC (NPI 1376400978) is an individual mental health provider in Rexburg, Idaho, licensed in Idaho (2271392) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1376400978
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMIAH WOODRUFFCredential: LPC
Location Address859 S YELLOWSTONE HWY STE 302Rexburg, ID 83440-5294
Mailing Address153 N 3988 ERigby, ID 83442-5310 · (480) 603-8905
Phone(208) 557-1227
Sole ProprietorYes
Enumeration DateJanuary 6, 2026
Last NPPES UpdateJuly 31, 20265 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1376400978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · 2271392
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2271392 (ID)
859 S YELLOWSTONE HWY STE 302, Rexburg, ID 83440
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Other Providers at the Same Location NPPES 2

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

COUNSELING & TREATMENT CENTER OF IDAHO, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
859 S YELLOWSTONE HWY STE 302
REXBURG, ID 83440
Madison County (208) 932-5363
CORE CONNECTION
Counselor (Mental Health)
859 S YELLOWSTONE HWY STE 302
REXBURG, ID 83440
Madison County (208) 557-1227

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 Jeremiah Woodruff's NPI number?

The NPI number for Jeremiah Woodruff is 1376400978. It was assigned to this individual provider in the NPPES registry on January 6, 2026.

Where is Jeremiah Woodruff located?

Jeremiah Woodruff practices at 859 S Yellowstone Hwy Ste 302, Rexburg, ID 83440. The listed phone number is (208) 557-1227.

What is Jeremiah Woodruff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeremiah Woodruff was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.