Individual provider · Type 1 NPI

Jeremiah Woodruff, LPC

Mental Health Counselor · Rexburg, ID

NPI number 1376400978 Active

Practice location

859 S Yellowstone Hwy Ste 302
Rexburg, ID 83440-5294

Call (208) 557-1227 Map

Mailing address

153 N 3988 E
Rigby, ID 83442-5310

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2271392 (ID)
Mental Health Counselor Primary 101YM0800X2271392 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1376400978

Jeremiah Woodruff, LPC's National Provider Identifier is 1376400978, issued on Jan 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rexburg, ID. The record was last updated on Jul 31, 2026.