CODY RUDD EVANS LCPC NPI 1366756181

NPI Information

  • NPI: 1366756181
  • Provider Name: CODY RUDD EVANS, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 475 YELLOWSTONE AVE
    STE E
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 232-0021

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NPI Details

Cody Rudd Evans, LCPC is a mental health counselor in Pocatello, ID. Cody Rudd Evans, LCPC NPI is 1366756181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

475 YELLOWSTONE AVE
STE E
POCATELLO, ID
ZIP 83201-528
Phone: (208) 232-0021
Fax: (208) 232-0031

The enumeration date for this NPI number is 8/4/2010 and was last updated on 6/15/2016.

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 HealthLPC4569IDAHONo
2101YM0800XCounselorMental HealthLCPC-4569IDAHOYes

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

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