NPI age
15 years
Enumerated 2010-10-18
● Active Type 2 · Organization
Idaho Department Of Health & Welfare
Idaho Department Of Health & Welfare is 1 of 37 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
Program Manager
Last NPPES update
2010-10-18
Source: monthly bulk 2026-05
How this organization compares
Across 37 active clinic/center providers in Idaho.
NPI age
15 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-10Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
3402 Franklin Rd
Caldwell, ID 836056932
Mailing address
3402 Franklin Rd
Caldwell, ID 836056932
Authorized official
Todd Hurt
Program 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 PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010018824 | BLUESHIELD |
| 01 (ID) | 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 →
- 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.