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QUINN BLAKE THIBODEAU LPC, NCC, M. COUN
NPI 1619102183
Counselor - Mental Health in Idaho Falls, ID

Active since May 27, 2009PECOS EnrolledAccepts Medicare Assignment
1891 GRANDVIEW CT, IDAHO FALLS, ID 83402(208) 681-7182 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Quinn Blake Thibodeau Lpc, Ncc, M. Coun NPPES

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

QUINN BLAKE THIBODEAU LPC, NCC, M. COUN (NPI 1619102183) is an individual mental health provider in Idaho Falls, Idaho, licensed in Idaho (LPC-4361) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619102183
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameQUINN BLAKE THIBODEAUCredential: LPC, NCC, M. COUN
Location Address1891 GRANDVIEW CTIdaho Falls, ID 83402-2510
Mailing Address1891 Grandview CtIdaho Falls, ID 83402-2510 · (208) 681-7182
Phone(208) 681-7182
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 27, 2009
Last NPPES UpdateAugust 12, 2009
✔ NPI 1619102183 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 · LPC-4361
Also ListedSocial WorkerTaxonomy 104100000X
1891 GRANDVIEW CT, Idaho Falls, ID 83402
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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 and accepts Medicare assignment

Quinn Blake Thibodeau Lpc, Ncc, M. Coun 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 ID6002358371
PECOS Enrollment IDI20240603002485
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.

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 Quinn Thibodeau's NPI number?

The NPI number for Quinn Thibodeau is 1619102183. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Where is Quinn Thibodeau located?

Quinn Thibodeau practices at 1891 Grandview Ct, Idaho Falls, ID 83402. The listed phone number is (208) 681-7182.

What is Quinn Thibodeau's specialty?

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

Is Quinn Thibodeau enrolled in Medicare?

Yes. Quinn Thibodeau 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 Quinn Thibodeau accept?

Health plans from PacificSource Health Plans, Select Health and University of Utah Health Plans list Quinn Thibodeau 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 Quinn Thibodeau was last updated on August 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.