P Praxis·MD
● Active Type 2 · Organization

Portneuf Valley Family Center

Counselor·Pocatello, ID· NPI 1174629976 · Enumerated 2006 · 19 years on NPI
Portneuf Valley Family Center is 1 of 1313 counselor organizations in Idaho.
NPI age
19 years
Enumerated 2006-09-16
Primary specialty
Counselor
Plus 6 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
De Wall
Owner/administrator
Last NPPES update
2025-06-27
Source: monthly bulk 2026-05

How this organization compares

Across 1313 active counselor providers in Idaho.

NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
6
In the 24% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
444 Hospital Way Ste 477
Pocatello, ID 832012744
📞 2082337832fax 2082337835
Mailing address
444 Hospital Way Ste 477
Pocatello, ID 832012744
📞 2082337832fax 2082337835

Authorized official

Robert De Wall
Owner/administrator
📞 2082337832

Individual providers at this organization

16 individual providers on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X
  • Counselor
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    taxonomy 101Y00000X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X
  • Nurse Practitioner
    Definition to come...
    taxonomy 363LP0808X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    taxonomy 363A00000X
  • Psychiatry & Neurology
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    taxonomy 2084P0800X
  • Social Worker
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    taxonomy 104100000X

Practice context

Multi-provider organization. 16 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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