P Praxis·MD
● Active Type 2 · Organization

State Of Mind Counseling And Wellness Center

Clinic/Center·Eagle, ID· NPI 1013277128 · Enumerated 2012 · 14 years on NPI
State Of Mind Counseling And Wellness Center is 1 of 37 clinic/center organizations in Idaho.
NPI age
14 years
Enumerated 2012-05-22
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Lpc
Last NPPES update
2012-07-27
Source: monthly bulk 2026-05

How this organization compares

Across 37 active clinic/center providers in Idaho.

NPI age
14 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 37% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
141 N Palmetto Ave Unit 1626
Eagle, ID 836168066
📞 2089393999
Mailing address
233 W State St Ste D
Eagle, ID 836164982

Authorized official

Lynda Smith
Lpc
📞 2086022293

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
    ID license #4841 taxonomy 261QM0855X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    ID license #4841 taxonomy 261QM0850X
  • Community/Behavioral Health
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    ID license #4841 taxonomy 251S00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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