P Praxis·MD
● Active Type 2 · Organization

Mountain Pine Therapy Pllc

Clinic/Center·Middleton, ID· NPI 1366389603 · Enumerated 2026 · 0 years on NPI
Mountain Pine Therapy Pllc is 1 of 93 clinic/center organizations in Idaho.
NPI age
— years
Enumerated 2026-05-04
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Streight
Counselor
Last NPPES update
2026-05-04
Source: monthly bulk 2026-05

How this organization compares

Across 93 active clinic/center providers in Idaho.

NPI age
0 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2026 → 2026

2026-05Enumerated in NPPES
2026 2026

Where they practice

Primary practice location
555 Burnside Ave
Middleton, ID 836441141
📞 2086953231
Mailing address
555 Burnside Ave
Middleton, ID 836441141
📞 2086953231

Authorized official

Timothy L Streight, LPC
Counselor
📞 2086953231

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X

Practice context

Multi-provider organization. 1 individual provider 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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