NPI age
15 years
Enumerated 2011-01-03
● Active Type 2 · Organization
Subpart
State Of Idaho
State Of Idaho is 1 of 196 psychologist organizations in Idaho.
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Colvin
Patient Account Specialist
Last NPPES update
2011-01-03
Source: monthly bulk 2026-05
How this organization compares
Across 196 active psychologist providers in Idaho.
NPI age
15 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
700 E Alice St
Blackfoot, ID 832214925
Mailing address
700 E Alice St, Po Box 400
Blackfoot, ID 832214925
Authorized official
Lorna B Colvin
Patient Account Specialist
📞 2087858506
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Heather Adams, N.P. Nurse Practitioner NPI 1548629603
- John Allen, PA-C Physician Assistant NPI 1003168899
- Lucas Belford, PA Physician Assistant NPI 1104394337
- Danielle Hamill Physician Assistant NPI 1679973119
- Mark Lupton, DO Internal Medicine NPI 1134579576
- Nicki Muir, PHARM.D. Pharmacist NPI 1497970966
- Andrew Olnes, MD Psychiatry & Neurology NPI 1336292572
- Jdee Wilson, MD Psychiatry & Neurology NPI 1598828816
Specialties
-
Psychologist PrimaryA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 00844 | BLUE CROSS |
| 05 (ID) | 1992789101 | |
| 01 (ID) | 20315 | REGENCE BLUE SHIELD |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
State Hospital South Group
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Subpart of State Hospital South.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.