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DEBORAH JOY CLARK
NPI 1619712429
Marriage & Family Therapist in Idaho Falls, ID

Active since June 25, 2024
2265 W BROADWAY ST, IDAHO FALLS, ID 83402(208) 524-7400 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deborah Joy Clark NPPES

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

DEBORAH JOY CLARK (NPI 1619712429) is an individual marriage & family therapist in Idaho Falls, Idaho and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1619712429
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDEBORAH JOY CLARK
Location Address2265 W BROADWAY STIdaho Falls, ID 83402-2996
Mailing AddressPo Box 1594West Yellowstone, MT 59758-1594 · (406) 201-0657 · Fax (406) 646-7754
Phone(208) 524-7400
Sole ProprietorNo
Enumeration DateJune 25, 2024
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1619712429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2265 W BROADWAY ST, Idaho Falls, ID 83402
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Other Providers at the Same Location NPPES 20

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

MR. SHAWN ROBERT ISRAELSEN LCSW
Counselor (Professional)
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
DIANNE NICHOLS LMSW
Social Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ERIN ENGER LMSW
Social Worker (Clinical)
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
SYDNEY LYNN BUFFORD LPC
Counselor (Mental Health)
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
KAREN MARIE RONNEBERG MSW
Social Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ROSALINDA CRUZ BOURASA
Counselor (Mental Health)
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
KRISTEN BARNEY LSW, QSUDP
Social Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 527-7400
MR. STEVEN LEE TERRELL II LCSW
Social Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400

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 Deborah Clark's NPI number?

The NPI number for Deborah Clark is 1619712429. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Deborah Clark located?

Deborah Clark practices at 2265 W Broadway St, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Deborah Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Deborah Clark was last updated on October 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.