NPI age
19 years
Enumerated 2007-03-01
● Active Type 2 · Organization
Idahodhwbh3 Caldwell Cmh Psr
Idahodhwbh3 Caldwell Cmh Psr is 1 of 32 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hurt
Field Operations Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 32 active clinic/center providers in Idaho.
NPI age
19 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3402 Franklin Rd
Caldwell, ID 836056932
Mailing address
3402 Franklin Rd
Caldwell, ID 836056932
Authorized official
Todd L Hurt, M.S.
Field Operations Manager
📞 2084557057
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Lindsey Barroso, R.N. Clinical Nurse Specialist NPI 1467720268
- Tara Byrne, LMSW Social Worker NPI 1013665884
- Lisa Comstock, MSW Social Worker NPI 1457707770
- Tara Dennis Social Worker NPI 1700355054
- Jitka Elizarraras Developmental Therapist NPI 1558143057
- Jennifer English Specialist NPI 1609653120
- Brian Frasure, LCSW Social Worker NPI 1386090207
- Amie Fries, RN Registered Nurse NPI 1942861265
- John Fulmore, LCSW Social Worker NPI 1275989873
- Amanda Goldston, LCSW Social Worker NPI 1023471851
- Ashley Hammond Social Worker NPI 1497101174
- Brook Heath, LCSW Social Worker NPI 1235592973
- Courtney Johnson, LMSW Social Worker NPI 1861053530
- Randon Kessinger Social Worker NPI 1295979318
- Mark Keylor, LMSW Social Worker NPI 1104371186
- Teri Mohr, R.N. Clinical Nurse Specialist NPI 1962770776
- Molly Perotti Social Worker NPI 1457802050
- James Richards, LMSW Social Worker NPI 1801242169
- Dustin Rogers, BA Behavior Technician NPI 1326598673
- Rod Scott, LSW Social Worker NPI 1669821849
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0028416 | |
| 01 | 000010018824 | BLUESHIELD |
| 01 | HW348 | BLUE CROSS OF IDAHO |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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