MRS. RACHEL CLARK LPC NPI 1306376843

NPI Information

  • NPI: 1306376843
  • Provider Name: MRS. RACHEL CLARK, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 381 SHOUP AVE STE 202
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 497-1290

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NPI Details

MRS. Rachel Clark, LPC is a mental health counselor in Idaho Falls, ID. MRS. Rachel Clark, LPC NPI is 1306376843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

381 SHOUP AVE STE 202
IDAHO FALLS, ID
ZIP 83402-651
Phone: (208) 497-1290

The enumeration date for this NPI number is 6/18/2017 and was last updated on 10/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLPC-9662IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1165979709MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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