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NORTH FORK COUNSELING SERVICES, LLC
NPI 1730873811
Social Worker - Clinical in Rexburg, ID

Active since June 02, 2023
2691 S 2000 W, REXBURG, ID 83440(208) 701-9616 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Fork Counseling Services, Llc NPPES

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

NORTH FORK COUNSELING SERVICES, LLC (NPI 1730873811) is a healthcare organization registered as a clinical in Rexburg, Idaho and active in the NPI registry since June 2023. The organization lists Jon Burnham, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1730873811
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNORTH FORK COUNSELING SERVICES, LLC
Location Address2691 S 2000 WRexburg, ID 83440-4049
Mailing AddressPo Box 64Sugar City, ID 83448-0064 · (208) 701-9616
Phone(208) 701-9616
Organization SubpartNo
Authorized OfficialJon BurnhamOwner/manager · (208) 201-1300
Enumeration DateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1730873811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2691 S 2000 W, Rexburg, ID 83440
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 4

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

NICOLE SUTTON LCSW
Social Worker (Clinical)
2691 S 2000 W
REXBURG, ID 83440
Madison County (208) 701-9616
MR. JON BURNHAM LCSW
Social Worker (Clinical)
2691 S 2000 W
REXBURG, ID 83440
Madison County (208) 701-9616
VICTORIA HAMMOND
Social Worker
2691 S 2000 W
REXBURG, ID 83440
Madison County (208) 701-9616
MARCI STUCKI LMSW
Social Worker
2691 S 2000 W
REXBURG, ID 83440
Madison County (208) 701-9616

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 North Fork Counseling Services, LLC's NPI number?

The NPI number for North Fork Counseling Services, LLC is 1730873811. It was assigned to this organization in the NPPES registry on June 2, 2023.

Where is North Fork Counseling Services, LLC located?

North Fork Counseling Services, LLC is located at 2691 S 2000 W, Rexburg, ID 83440. The listed phone number is (208) 701-9616.

What is North Fork Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does North Fork Counseling Services, LLC accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list North Fork Counseling Services, 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 North Fork Counseling Services, LLC was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.