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Active NPI 1467675975 Individual Practitioner Male Practitioner

Kory David Wilson , CMHC--

Counselor - Professional • Rexburg, ID

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kory Wilson, CMHC-- is a registered healthcare professional specializing in Counselor - Professional in Rexburg, ID. Official NPI practice address is registered at 218 DIVIDEND DR STE 3.

Practice Location & Contact Primary Location

Practice Address

218 Dividend Dr Ste 3

Rexburg, ID 834403510

Telephone 2083599683
Fax 2083599683
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rexburg, ID

Active Practitioner
Practitioner Clinical Experience
Active
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

Medical Specialties & State Licenses

CMS Verified: 2026-06-10
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License ID LPC-3463

Definition to come...

Practice Associates & Co-Workers

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

24 Associated Practitioners
Tami Saunders

Social Worker

NPI 1033765862
Travis Schwab , LPC

Counselor - Professional

NPI 1053434704

Licensed Professional Counselor

Janell Clement , LCSW

Social Worker - Clinical

NPI 1083026272

Licensed Clinical Social Worker

Kirk Mace , MSW

Social Worker

NPI 1134242712

Master of Social Work

Christopher Banta , BA PSYCHOLOGY

Psychologist - Rehabilitation

NPI 1164545877

BAPSYCHOLOGY

Nathan Jensen , MSW

Social Worker

NPI 1174646749

Master of Social Work

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated June 10, 2026

Recorded as KORY WILSON, CMHC-7172909-6004

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 218 DIVIDEND DR STE 3, REXBURG, ID 834403510 (Tel: 2083599683)

📍
Updated Business Mailing Address July 08, 2007

Registered at 490 PIONEER RD APT 8301, REXBURG, ID 834405285 (Tel: 2085218173)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KORY WILSON, LPC-3463

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #LPC-3463 in ID)

🟢
Initial NPI Registration & Enumeration April 11, 2007

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: 1467675975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: June 10, 2026
Sole Proprietor: No

Mailing Address

490 Pioneer Rd Apt 8301

Rexburg, ID 834405285

Phone: 2085218173

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.