KAVIN BRANHAM LCPC
NPI 1427409051
Counselor - Professional in Rexburg, ID

Q: What is Kavin Branham's NPI number?

The NPI number for Kavin Branham is 1427409051. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Q: What is Kavin Branham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kavin Branham was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 June 24, 2016PECOS EnrolledAccepts Medicare Assignment

72 S 1ST E STE 103, REXBURG, ID 83440(208) 356-4900(208) 624-4030 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 26, 2024, Dec 15, 2023, Jul 21, 2023 and 4 more (7 updates tracked since 2016).

On this page

About Kavin Branham Lcpc NPPES

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

KAVIN BRANHAM LCPC (NPI 1427409051) is an individual professional provider in Rexburg, Idaho, licensed in Idaho (LCPC-7894) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427409051

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKAVIN BRANHAMCredential: LCPC

Location Address72 S 1ST E STE 103Rexburg, ID 83440-1965

Mailing AddressPo Box 18Saint Anthony, ID 83445-0018 · (208) 356-4900 · Fax (208) 624-4030

Phone(208) 356-4900

Fax(208) 624-4030

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 24, 2016

Last NPPES UpdateSeptember 26, 20247 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1427409051 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 · LCPC-7894

72 S 1ST E STE 103, Rexburg, ID 83440

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1335 E Main St Ste 3Saint Anthony, ID 83445-1546 · Phone (208) 356-4900 · Fax (208) 624-4030

Location 2454 Jeanine CirSugar City, ID 83448-5085 · Phone (208) 206-2786

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kavin Branham Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345693743

PECOS Enrollment IDI20260414002845

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 4

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

RHET DALLING LCSW

Social Worker (Clinical)

72 S 1ST E STE 103
REXBURG, ID 83440

Madison County (208) 356-4900

GARETT GAYLE RUMSEY

Nurse Practitioner (Psychiatric/Mental Health)

72 S 1ST E STE 103
REXBURG, ID 83440

Madison County (208) 356-4900

UPPER VALLEY COMMUNITY HEALTH SERVICES INC

Clinic/Center (Federally Qualified Health Center (FQHC))

72 S 1ST E STE 103
REXBURG, ID 83440

Madison County (208) 356-4900

ALICE DAWN MANWARING LCSW

Social Worker (Clinical)

72 S 1ST E STE 103
REXBURG, ID 83440

Madison County (208) 356-4900

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 Kavin Branham's NPI number?

The NPI number for Kavin Branham is 1427409051. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Kavin Branham located?

Kavin Branham practices at 72 S 1st E Ste 103, Rexburg, ID 83440. The listed phone number is (208) 356-4900.

What is Kavin Branham's specialty?

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

Is Kavin Branham enrolled in Medicare?

Yes. Kavin Branham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kavin Branham accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Kavin Branham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kavin Branham was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.