NPI age
19 years
Enumerated 2007-03-08
● Active Type 2 · Organization
Subpart
Idaho Dept Of Health & Welfare
Idaho Dept Of Health & Welfare is 1 of 806 community/behavioral health organizations in Idaho.
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rasmussen
Human Services Field Program Manage
Last NPPES update
2019-01-09
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2241 Overland Ave
Burley, ID 833182929
Mailing address
2241 Overland Ave
Burley, ID 833182929
Authorized official
Scott Rasmussen, LCSW
Human Services Field Program Manage
📞 2087321601
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mary Kraemer Social Worker NPI 1043673023
- Hannah Terra Developmental Therapist NPI 1861388282
Specialties
-
Community/Behavioral Health PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010025422 | BLUE SHIELD |
| 05 (ID) | 8073415 | |
| 01 (ID) | HW140 | BLUE CROSS |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Idaho Dept Of Health & Welfare.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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