ISAAC NELSON (LCPC) – Mental Health Counselor, NPI 1306497227

ISAAC NELSON (LCPC) is a healthcare provider. based in Rexburg, Idaho. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. LCPC-8861 (ID). The NPI Number for ISAAC NELSON (LCPC) is 1306497227

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ISAAC NELSON (LCPC)
NPI
1306497227
Phone
(208) 359-4840
Address
393 E 2ND N
Enumeration Date
23 September 2019
Last Update Date
15 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083594840
Graduation Year
2019 (7 years ago)
PAC ID
7113379207
Group Practice PAC ID
1456754373
Professional Enrollment ID
I20240112004114
Address ID
ID834401605RE393XX2NDX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

436 MENTAL HEALTH COUNSELOR in ID

Provider Addresses for ISAAC NELSON (LCPC)

  • 393, East 2nd North, Rexburg, Madison County, Idaho, 83440, United States

    REXBURG, ID 834401605

    Phone: (208) 359-4840

    Type: Mailing

  • 393 E 2nd N

    Rexburg, ID 834401605

    Phone: (208) 359-4840

    Fax: (208) 359-9010

    Type: Location

  • 3453 Clearview Ln

    Ammon, ID 834064702

    Phone: (208) 359-4840

    Fax: (208) 359-9010

    Type: Location

  • PO BOX 2426

    IDAHO FALLS, ID 834032426

    Phone: (208) 643-3639

    Type: Mailing

  • 550 2ND ST STE 229

    IDAHO FALLS, ID 834013900

    Phone: (208) 643-3639

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240112004114IMental Health CounselorIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456754373View full group profile
NameSpecialtyState
Mental Health CounselorOR
Marriage And Family TherapistID
Clinical Social WorkerID
Mental Health CounselorID
Nurse PractitionerID
Mental Health CounselorID
Mental Health CounselorID
Marriage And Family TherapistID
Mental Health CounselorID

Reviews

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Frequently asked questions

Can I verify ISAAC NELSON (LCPC) with an NPI only?
You can start verification with NPI 1306497227 for ISAAC NELSON (LCPC), then check state licensing separately.
Does the file indicate ISAAC NELSON (LCPC) is practicing under active NPI?
Directory data currently reports ISAAC NELSON (LCPC) as active.
What is ISAAC NELSON (LCPC)'s primary classification?
Mental Health Counselor is the headline specialty for ISAAC NELSON (LCPC) here. Clinical services aligned with this taxonomy classification.
What address line appears for ISAAC NELSON (LCPC)?
ISAAC NELSON (LCPC)'s geographic hint is Rexburg, Idaho in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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