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Active NPI 1427409051 Individual Practitioner Male Practitioner

Kavin Branham , LCPC

Counselor - Professional • Rexburg, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kavin Branham, LCPC is a certified Counselor - Professional practicing in Rexburg, ID. With approximately 10 years of clinical experience since completing medical education in 2016, Kavin Branham delivers high-quality medical care to the local community at 72 S 1ST E STE 103.

Kavin Branham is affiliated with Upper Valley Community Health Services Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

72 S 1st E Ste 103

Rexburg, ID 834401965

Telephone 2083564900
Fax 2086244030
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rexburg, ID

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +0.2 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
21 Specialists

Practicing in Rexburg, ID (1223 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Branham (10 Years) 10 Yrs
Rexburg Specialty Average (9.8 Years) 9.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-09-26
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License ID LCPC-7894

Definition to come...

Hospital & Practice Group Affiliations

Upper Valley Community Health Services Inc

72 S 1st, Rexburg, ID 834401902

Phone: 2083564900

Upper Valley Community Health Services Inc

72 S 1st, Rexburg, ID 834401902

Phone: 2083564900

Secondary Practice Locations

335 E Main St Ste 3

Saint Anthony, ID 834451546

Phone: 2083564900

454 Jeanine Cir

Sugar City, ID 834485085

Phone: 2082062786

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dave Robinson , PA-C

Physician Assistant

NPI 1003257478

Physician Assistant (Certified)

Megan Thompson , LCSW

Social Worker - Clinical

NPI 1033887146

Licensed Clinical Social Worker

Rhet Dalling , LCSW

Social Worker - Clinical

NPI 1104184738

Licensed Clinical Social Worker

Linda Lopez , LCSW

Social Worker - Clinical

NPI 1134543796

Licensed Clinical Social Worker

Haddi Burr , LMSW

Social Worker

NPI 1144098005

Licensed Master Social Worker

NPI 1144675679

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location September 26, 2024

Registered at 72 S 1ST E STE 103, REXBURG, ID 834401965 (Tel: 2083564900)

📍
Updated Practice Location October 13, 2020

Registered at 335 E MAIN ST, SAINT ANTHONY, ID 834451546 (Tel: 2083564900)

👤
Provider Name / Credentials Updated October 13, 2020

Recorded as KAVIN BRANHAM, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2020

Counselor (License #LCPC-7894 in ID)

📍
Updated Practice Location August 13, 2020

Registered at 72 S 1ST E, REXBURG, ID 834401902 (Tel: 2083564900)

📍
Updated Business Mailing Address August 13, 2020

Registered at PO BOX 18, SAINT ANTHONY, ID 834450018 (Tel: 2083594840)

NPI Profile Active June 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2016

Registered at 393 E 2ND N, REXBURG, ID 834401605 (Tel: 2083594840)

📍
Updated Business Mailing Address June 24, 2016

Registered at 393 E 2ND N, REXBURG, ID 834401605 (Tel: 2083594840)

👤
Provider Name / Credentials Updated June 24, 2016

Recorded as KAVIN BRANHAM, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2016

Counselor (License #6170 in ID)

🟢
Initial NPI Registration & Enumeration June 24, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427409051
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2016
Last Update: September 26, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 18

Saint Anthony, ID 834450018

Phone: 2083564900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.