NPI age
5 years
Enumerated 2020-10-12
● Active Type 2 · Organization
Subpart
Idaho State University
Idaho State University is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rock
Clinics Director Of Operations
Last NPPES update
2020-10-12
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
5 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-10Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1311 E Central Dr
Meridian, ID 836427991
Mailing address
1311 E Central Dr
Meridian, ID 836427991
Authorized official
Cynthia Lee Rock
Clinics Director Of Operations
📞 2083731743
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jennifer Adams, PHARM.D., ED.D. Pharmacist NPI 1356481691
- Israel Amanuel Dentist NPI 1912672312
- Allan Baker Dentist NPI 1518528108
- Mikaela Bayless Counselor NPI 1386521649
- Brian Bollwitt, D.M.D. Dentist NPI 1235547159
- Andrea Bornstein, DMD Dentist NPI 1700615853
- Jessica Bovee Counselor NPI 1891674156
- Zachary Brazell, MASTERS STUDENT Counselor NPI 1518846351
- Daniel Buerk Dentist NPI 1275376907
- Demitri Carahalios, PHYSICIAN ASSISTANT Physician Assistant NPI 1346973245
- Emily Chitwood Counselor NPI 1750260394
- Kevin Cleveland, PHARM.D. Pharmacist NPI 1811999592
- Collin Czajka, DMD Dentist NPI 1538846464
- Katherine Divine, D.D.S. Dentist NPI 1487093704
- Amanda Egland Counselor NPI 1609755255
- Kristine Esplin, FNP Nurse Practitioner NPI 1932090610
- Kole Fisher, DMD Student in an Organized Health Care Education/Training Program NPI 1073305256
- Peter Flipsen, SL-P(C) CCC-SLP Speech-Language Pathologist NPI 1275845679
- Casey Flowers Dentist NPI 1114681095
- Nancy Foss, CCC-SLP Speech-Language Pathologist NPI 1447571435
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ISU Meridian Counseling Clinic
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Idaho State University.
Provyx · Custom healthcare lists
Need all 326 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.