NPI age
18 years
Enumerated 2007-06-07
● Active Type 2 · Organization
Blackfoot Medical Clinic Mental Health
Blackfoot Medical Clinic Mental Health is 1 of 1313 counselor organizations in Idaho.
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Business Office Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1313 active counselor providers in Idaho.
NPI age
18 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1441 Parkway Dr
Blackfoot, ID 832211667
Mailing address
1441 Parkway Dr
Blackfoot, ID 832211667
Authorized official
Betty Miller
Business Office Manager
📞 2087852600
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jason Bailey, PHARM.D Pharmacist NPI 1730171356
- Nicole Bair, DPT Physical Therapist NPI 1467942144
- Danielle Bangerter, FNP-C Nurse Practitioner NPI 1164204368
- Max Barney Nurse Practitioner NPI 1720448590
- Paul Beckett, DO Family Medicine NPI 1831115757
- Ryan Bichsel Nurse Practitioner NPI 1699576835
- Brian Boehme Physical Therapist NPI 1164445086
- Steven Clinger, MD Family Medicine NPI 1790722841
- Gordon Dixon, DO Family Medicine NPI 1578518395
- Sadie Ellis, DPT Physical Therapist NPI 1326285560
- Debra Erramouspe, PA Physician Assistant NPI 1144264532
- Matthew Fackrell, DO Family Medicine NPI 1215968045
- Douglas Gilbert, NP Nurse Practitioner NPI 1285661033
- Rhonda Grandee, PA Physician Assistant NPI 1184668139
- Guss Grimmett, NP Nurse Practitioner NPI 1881620730
- Heather Grimmett, PA Physician Assistant NPI 1073792586
- George Hales, MD Family Medicine NPI 1356665087
- Francis Johansen, D.O. Internal Medicine NPI 1447253968
- Andrew McAbery, PT Physical Therapist NPI 1932365418
- Kirt McKinlay, MD Family Medicine NPI 1902843089
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Multi-provider organization. 20 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.