NPPES file of Aug 9, 2026

Robert Andrew De Wall, LCPC

Professional Counselor · Pocatello, ID

Robert Andrew De Wall, LCPC is a professional counselor with a practice address in Pocatello, Idaho, and NPI 1114228384, issued on Nov 4, 2010. Check the license (Idaho LCPC-4672, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114228384
Name
Robert Andrew De Wall
Credential
LCPC
Primary taxonomy
Professional Counselor 101YP2500X
License number
LCPC-4672 ID
Self-reported in NPPES; status is on the state search
Practice location
444 Hospital Way Ste 477, Pocatello, ID 83201
Phone
(208) 233-7832
Enumerated
Nov 4, 2010
Record last updated
Oct 22, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(208) 233-7835
Medicare enrollment
Enrolled (PECOS I20240105001480); may accept Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 444 Hospital Way Ste 477

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Trinety Campbell, LMSWSocial Worker1306686340
  2. Lauren EllsworthPeer Specialist1811417272
  3. Renee Gault, DNP, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1912489980
  4. Collette Gregersen, LPCProfessional Counselor1326564956
  5. Lisa JohnstonPeer Specialist1760980023
  6. Kelly LindSocial Worker1184176463

Verify Robert Andrew De Wall in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license LCPC-4672
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Portneuf Valley Family CenterPocatello, ID

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Robert Andrew De Wall among 1,204 professional counselor records in Idaho

Robert Andrew De Wall, LCPC is one of 1,204 professional counselor records with a practice address in Idaho. 10% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 21% of them.

  • NPI issued2010 · 21% of these records are older, 75% newer
  • In a Medicare fileYes · 10% of these records are
  • In the CMS Doctors and Clinicians fileYes · 15% of these records are
  • Graduated2008 · median 2014 among the 175 with a school on file
  • Record last updated2021 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

61 professional counselor records list a practice address in Pocatello

They are 61 of the 1,968 NPPES records with a practice address in Pocatello, and 1,204 professional counselor records in Idaho.

The 8 professional counselor records with the nearest ZIP codes

  1. Kimberly Andrew, LCPCPocatello, ID 832011164780706
  2. Kimberly Bernt, LCPCPocatello, ID 832011740568658
  3. Renee Bozorg-Omid, LPCPocatello, ID 832011235376062
  4. Christine Collaer-Muzzo, LCPCPocatello, ID 832011851650691
  5. Pamela Davies, LCPCPocatello, ID 832011538261169
  6. Katherine Downes, LCPCPocatello, ID 832011194904920
  7. Susan Macomb, LCPCPocatello, ID 832011265624100
  8. Amanda Minor, LPCPocatello, ID 832011720366693

Common questions

What is Robert Andrew De Wall, LCPC's NPI number?

Robert Andrew De Wall, LCPC's National Provider Identifier (NPI) is 1114228384, issued on Nov 4, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Robert Andrew De Wall, LCPC located?

The NPPES record lists a practice address at 444 Hospital Way Ste 477, Pocatello, ID, 83201. Phone: (208) 233-7832. Providers update this record themselves, so call before visiting.

How can I verify Robert Andrew De Wall, LCPC's license?

NPPES lists Idaho license number LCPC-4672, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.