P Praxis·MD
● Active Type 2 · Organization

Stillwater Connection

Community/Behavioral Health·Middleton, ID· NPI 1457867962 · Enumerated 2017 · 8 years on NPI
Stillwater Connection is 1 of 806 community/behavioral health organizations in Idaho.
NPI age
8 years
Enumerated 2017-12-19
Primary specialty
Community/Behavioral Health
Plus 3 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Nelson
Owner
Last NPPES update
2024-03-29
Source: monthly bulk 2026-05

How this organization compares

Across 806 active community/behavioral health providers in Idaho.

NPI age
8 years
↓ 2 yr below median
Practice locations
2
1 secondary on file
Subspecialties
3
In the 16% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-12Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
22480 Duff Ln
Middleton, ID 836446041
📞 2089654502fax 2085054280
Mailing address
22480 Duff Ln
Middleton, ID 836446041
📞 2089654502fax 2085054280

Additional practice locations

1 secondary location on file with NPPES.

Location 2
343 E 4th N
Rexburg, ID 834406002
📞 2085383654fax 2085054280

Authorized official

Tanya Kristen Nelson
Owner
📞 2088002758

Individual providers at this organization

10 individual providers on file at this primary practice address.

Specialties

  • Community/Behavioral Health Primary
    A 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...
    ID license #LPC6027 taxonomy 251S00000X
  • Clinic/Center
    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
  • Clinic/Center
    An 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...
    taxonomy 261QM0855X
  • Counselor
    Definition to come...
    taxonomy 101YM0800X

Identifiers

TypeValueNotes
05 (ID) 1457867962

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Middleton Counseling
    Type code 3 recorded 2021-03-17

Practice context

Multi-provider organization. 10 individual providers on file at this primary address. Plus 1 secondary practice location.

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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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