NPI age
6 years
Enumerated 2020-01-09
● Active Type 2 · Organization
Cognitive Restructuring, Llc.
Cognitive Restructuring, Llc. is 1 of 34 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 8 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Owner
Last NPPES update
2026-02-17
Source: monthly bulk 2026-05
How this organization compares
Across 34 active clinic/center providers in Idaho.
NPI age
6 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
8
In the 47% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
707 N 7th Ave Ste D
Pocatello, ID 832015796
Mailing address
707 N 7th Ave Ste D
Pocatello, ID 832015796
Authorized official
Kenneth James Taylor, LCSW, LMS, CADC
Owner
📞 2082423044
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Justin Dechon Peer Specialist NPI 1578426722
- Katina Dunn Case Manager/Care Coordinator NPI 1316800675
- Morningstar Martin Counselor NPI 1376407791
- Ross Slayton Counselor NPI 1053274225
- Lindsey Swank Community Health Worker NPI 1215891700
- Destry Wolbert Case Manager/Care Coordinator NPI 1508729872
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Case ManagementAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
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Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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Clinic/CenterAn 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...
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Community/Behavioral HealthA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
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CounselorDefinition to come...
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Peer SpecialistIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Substance Abuse Rehabilitation FacilityA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. ...
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Substance Abuse Rehabilitation FacilityA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
COGNITIVE RESTRUCTURING, LLC PHP
Practice context
Multi-provider organization. 6 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.