P Praxis·MD
● Active Type 2 · Organization

Idaho Trauma Therapy Llc

Clinic/Center·Boise, ID· NPI 1477049492 · Enumerated 2018 · 7 years on NPI
Idaho Trauma Therapy Llc is 1 of 326 clinic/center organizations in Idaho.
NPI age
7 years
Enumerated 2018-07-02
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cook
Owner
Last NPPES update
2018-07-02
Source: monthly bulk 2026-05

How this organization compares

Across 326 active clinic/center providers in Idaho.

NPI age
7 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 19% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
6126 W State St Ste 109
Boise, ID 837032741
📞 2083912957
Mailing address
6126 W State St Ste 109
Boise, ID 837032741
📞 2083912957

Authorized official

Hillary Dawn Cook, LPC
Owner
📞 2083912957

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #LPC-6772 taxonomy 261QM0801X
  • 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.
    ID license #LPC-6772 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...
    ID license #LPC-6772 taxonomy 261QM0855X

Practice context

Multi-provider organization. 2 individual providers 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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