EAST IDAHO MENTAL HEALTH LLC
NPI 1629825526
Counselor in Rexburg, ID
About East Idaho Mental Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST IDAHO MENTAL HEALTH LLC (NPI 1629825526) is a healthcare organization registered as a counselor in Rexburg, Idaho and active in the NPI registry since April 2024. The organization lists Destin Thayne, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Idaho Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to East Idaho Mental Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 East Idaho Mental Health LLC's NPI number?
The NPI number for East Idaho Mental Health LLC is 1629825526. It was assigned to this organization in the NPPES registry on April 30, 2024.
Where is East Idaho Mental Health LLC located?
East Idaho Mental Health LLC is located at 859 S Yellowstone Hwy Ste 3201, Rexburg, ID 83440. The listed phone number is (208) 359-2101.
What is East Idaho Mental Health LLC's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is East Idaho Mental Health LLC enrolled in Medicare?
Yes. East Idaho Mental Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Idaho Mental Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to East Idaho Mental Health LLC, in Clinical Social Worker and Mental Health Counselor. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does East Idaho Mental Health LLC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list East Idaho Mental Health LLC 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 East Idaho Mental Health LLC was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# East Idaho Mental Health Llc · NPI 1629825526
Counselor organization in Rexburg, Idaho. Organization record, active in the CMS NPPES registry since April 30, 2024.
## Identity
- **NPI:** 1629825526 (Entity type: Organization)
- **Enumerated:** April 30, 2024
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Organization subpart:** No
- **Authorized official:** Destin Thayne, ADMINISTRATOR
## Practice location
- **Address:** 859 S YELLOWSTONE HWY STE 3201, Rexburg, ID 83440-6200
- **Phone:** (208) 359-2101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Mental Health Counselor (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629825526) · Data from the CMS NPPES public registry.