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KATHLEEN VICTORIA PODUSKA LCPC
NPI 1770009854
Counselor - Mental Health in Idaho Falls, ID

Active since August 20, 2017PECOS EnrolledAccepts Medicare Assignment
502 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 346-7500(208) 346-7501 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 11, 2023, Nov 12, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Kathleen Victoria Poduska Lcpc NPPES

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

KATHLEEN VICTORIA PODUSKA LCPC (NPI 1770009854) is an individual mental health provider in Idaho Falls, Idaho, licensed in Idaho (LCPC-8421) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1770009854
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN VICTORIA PODUSKACredential: LCPC
Location Address502 S WOODRUFF AVEIdaho Falls, ID 83401-5298
Mailing Address4159 Lowell BlvdDenver, CO 80211-1658
Phone(208) 346-7500
Fax(208) 346-7501
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 20, 2017
Last NPPES UpdateDecember 11, 20235 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1770009854 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 · LCPC-8421
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License BBH-LCPC-LIC-23176 (MT), 0014263 (CO)
502 S WOODRUFF AVE, Idaho Falls, ID 83401
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathleen Victoria Hendrickson

Secondary Practice Locations 3

Location 1200 Plaza Dr Ste 200Highlands Ranch, CO 80129-2348 · Phone (303) 730-8858
Location 2220 Summit BlvdBroomfield, CO 80021-8257 · Phone (406) 698-8387
Location 34159 Lowell BlvdDenver, CO 80211-1658 · Phone (406) 698-8387

Accepted Insurance

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

Kathleen Victoria Poduska Lcpc 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 ID3779933775
PECOS Enrollment IDI20240102003953
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 Kathleen Poduska reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pearl Health Clinic
1.2 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.

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.

GRACE E BARE
Social Worker
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 346-7500
MADISON JUDY
Peer Specialist
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 348-7500
KEATON JAKE SUITTER LPC
Counselor (Mental Health)
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 346-7500
FERNANDO REYNA
Peer Specialist
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (801) 928-4934
CORY STEELE
Counselor (Mental Health)
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 346-7500

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 Kathleen Poduska's NPI number?

The NPI number for Kathleen Poduska is 1770009854. It was assigned to this individual provider in the NPPES registry on August 20, 2017. The provider is also known as Kathleen Victoria Hendrickson.

Where is Kathleen Poduska located?

Kathleen Poduska practices at 502 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 346-7500.

What is Kathleen Poduska's specialty?

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

Is Kathleen Poduska enrolled in Medicare?

Yes. Kathleen Poduska 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 Kathleen Poduska's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Poduska 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 Kathleen Poduska's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Poduska accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, Select Health and University of Utah Health Plans list Kathleen Poduska 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 Kathleen Poduska was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.