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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: October 18, 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 Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Quinn Thibodeau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pearl Health Clinic
4.7 mi
Mental Health
2705 E 17TH ST
Ammon, ID 83406
  • Reassigned Medicare billing, Idaho enrollment
  • 45 clinicians in this Medicare group
NPI 1447426465 (208) 346-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Quinn Thibodeau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Quinn Thibodeau reassigns Medicare benefits to Pearl Health Clinic (Ammon, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Quinn Thibodeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Quinn Thibodeau accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.