P Praxis·MD
● Active Type 2 · Organization

Mental Health Jiu Jitsu Pllc

Clinic/Center·Sandpoint, ID· NPI 1215639182 · Enumerated 2023 · 3 years on NPI
Mental Health Jiu Jitsu Pllc is 1 of 326 clinic/center organizations in Idaho.
NPI age
3 years
Enumerated 2023-03-21
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rumore
Owner/provider
Last NPPES update
2024-11-14
Source: monthly bulk 2026-05

How this organization compares

Across 326 active clinic/center providers in Idaho.

NPI age
3 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
105 Pine St Ste 105a
Sandpoint, ID 838641369
📞 2086279930
Mailing address
105 Pine St Ste 105a
Sandpoint, ID 838641369
📞 2086279930

Authorized official

Dante Sandro Rumore, LICSW
Owner/provider
📞 2086279930

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X

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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