P Praxis·MD
● Active Type 2 · Organization

Cynthia Louise Lange, Llc

Counselor·Pocatello, ID· NPI 1174170708 · Enumerated 2019 · 6 years on NPI
Cynthia Louise Lange, Llc is 1 of 1313 counselor organizations in Idaho.
NPI age
6 years
Enumerated 2019-08-19
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Goss
Credentialing Specialist
Last NPPES update
2019-08-19
Source: monthly bulk 2026-05

How this organization compares

Across 1313 active counselor providers in Idaho.

NPI age
6 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
330 S 4th Ave
Pocatello, ID 832016403
📞 4068484827
Mailing address
330 S 4th Ave
Pocatello, ID 832016403
📞 4068484827

Authorized official

Deborah A Goss
Credentialing Specialist
📞 2082211161

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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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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