MARK KELSCH LMSW NPI 1497046718

NPI Information

  • NPI: 1497046718
  • Provider Name: MARK KELSCH, LMSW
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2267 TETON PLZ
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 522-0140

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NPI Details

Mark Kelsch, LMSW is a professional counselor in Idaho Falls, ID with 17 years of experience. Mark Kelsch, LMSW NPI is 1497046718. 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:

2267 TETON PLZ
IDAHO FALLS, ID
ZIP 83404-486
Phone: (208) 522-0140
Fax: (208) 524-7335

The NPI 1497046718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 11/22/2023.

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
1101YP2500XCounselorProfessionalLCSW-37136IDAHOYes

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
11346368198MEDICAIDIDAHO

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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