NPI age
19 years
Enumerated 2007-02-26
● Active Type 2 · Organization
Idaho Dept Of Health & Welfare Region 7 Amh Psr If
Idaho Dept Of Health & Welfare Region 7 Amh Psr If 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
Bean
Program Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
150 Shoup Ave, Suite 17
Idaho Falls, ID 834023657
Mailing address
150 Shoup Ave, Suite 17
Idaho Falls, ID 834023657
Authorized official
Melissa M Bean, MA
Program Manager
📞 2085285706
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Russell Anderson, LSW Social Worker NPI 1972965937
- Brooke Belnap, M.S. CCC-SLP Speech-Language Pathologist NPI 1336518414
- Sandra Cummings Developmental Therapist NPI 1154782365
- Darren Furman, LCSW, PHD Social Worker NPI 1891158879
- Melissa Gallant, RN Registered Nurse NPI 1003278490
- Krista Griffin, LCSW Social Worker NPI 1144661463
- Todd Jensen Registered Nurse NPI 1073975116
- Kathleen Kunkel Developmental Therapist NPI 1093175473
- Elizabeth Lagazo Developmental Therapist NPI 1437626124
- Robert Lang, LCPC Counselor NPI 1811121338
- Jennifer Lebel, R.N. Registered Nurse NPI 1841723822
- Timothy McHugh Physician Assistant NPI 1194264127
- Stephanie Olson, B.A. Developmental Therapist NPI 1760842140
- Michaelina Page, RN Registered Nurse NPI 1639733256
- Maria Rodriguez-Moncada Developmental Therapist NPI 1013489285
- Kayla Schroeder, M.S. Speech-Language Pathologist NPI 1700331279
- Marie Sheranian Developmental Therapist NPI 1306296488
- Vea Walton Registered Nurse NPI 1568810752
- Nichole Wilson Developmental Therapist NPI 1740730811
- Zachary Wixom, LMSW Counselor NPI 1023507977
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | HW181 | BLUE CROSS OF IDAHO |
| 01 | 000010019479 | BLUE SHIELD |
| 05 (ID) | 0028410 |
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 →
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