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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. SALLY ANN HOLBROOK LCPC-S
NPI 1679821987
Counselor - Mental Health in Twin Falls, ID

Active since August 16, 2012PECOS Enrolled
496 SHOUP AVE W STE F, TWIN FALLS, ID 83301(208) 683-8320(208) 969-8380 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Sally Ann Holbrook Lcpc-s NPPES

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

MS. SALLY ANN HOLBROOK LCPC-S (NPI 1679821987) is an individual mental health provider in Twin Falls, Idaho, licensed in Idaho (LCPC-6012) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679821987
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SALLY ANN HOLBROOKCredential: LCPC-S
Location Address496 SHOUP AVE W STE FTwin Falls, ID 83301-5043
Mailing Address148 S Cole RdBoise, ID 83709-0932 · (086) 683-8320 · Fax (208) 969-8380
Phone(208) 683-8320
Fax(208) 969-8380
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 16, 2012
Last NPPES UpdateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1679821987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC-6012
496 SHOUP AVE W STE F, Twin Falls, ID 83301
Open in Google Maps ↗

Other Names 1

Former Name (1)Sally Ann Whitaker Lcpc-s

Secondary Practice Locations 5

Location 1411 Main Street Unit GKamiah, ID 83536 · Phone (208) 683-8320 · Fax (208) 969-8380
Location 2509 S Middleton RdMiddleton, ID 83644-6046 · Phone (208) 683-8320 · Fax (208) 969-8380
Location 3213 N Main St Ste 1BMoscow, ID 83843-2700 · Phone (208) 683-8320 · Fax (208) 969-8380
Location 4148 S Cole RdBoise, ID 83709-0932 · Phone (086) 683-8320 · Fax (208) 969-8380
Location 5509 Trolley Way, Suite 104Middleton, ID 83644-6046 · Phone (208) 683-8320 · Fax (208) 969-8380

Accepted Insurance

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

Ms. Sally Ann Holbrook Lcpc-s 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 ID9133637911
PECOS Enrollment IDI20250804000585
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 5

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

KRYSTAL PAGE CM/CBRS
Case Manager/Care Coordinator
496 SHOUP AVE W STE F
TWIN FALLS, ID 83301
Twin Falls County (406) 223-3259
JESSICA ASAY BSW
Social Worker
496 SHOUP AVE W STE F
TWIN FALLS, ID 83301
Twin Falls County (208) 683-8320
MS. JESSICA GASTON LPC
Counselor (Professional)
496 SHOUP AVE W STE F
TWIN FALLS, ID 83301
Twin Falls County (208) 683-8320
MAGIC VALLEY URGENT CARE, PLLC
Clinic/Center (Urgent Care)
496 SHOUP AVE W STE F
TWIN FALLS, ID 83301
Twin Falls County (208) 733-6882
CECILIA HARMAN
Social Worker
496 SHOUP AVE W STE F
TWIN FALLS, ID 83301
Twin Falls County (208) 683-8320

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 Sally Holbrook's NPI number?

The NPI number for Sally Holbrook is 1679821987. It was assigned to this individual provider in the NPPES registry on August 16, 2012. The provider is also known as Sally Ann Whitaker Lcpc-S.

Where is Sally Holbrook located?

Sally Holbrook practices at 496 Shoup Ave W Ste F, Twin Falls, ID 83301. The listed phone number is (208) 683-8320.

What is Sally Holbrook's specialty?

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

Is Sally Holbrook enrolled in Medicare?

Yes. Sally Holbrook 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 Sally Holbrook accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Sally Holbrook 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 Sally Holbrook was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.