NPI age
2 years
Enumerated 2023-07-18
● Active Type 2 · Organization
Watershed Wellness, Llc
Watershed Wellness, Llc 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
Barth
Owner
Last NPPES update
2023-07-18
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
2 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-07Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
120 E Lake St Ste 205
Sandpoint, ID 838641366
Mailing address
417 S Lavina Ave
Sandpoint, ID 838641144
Authorized official
David Barth, LCPC
Owner
📞 2083041102
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WATERSHED WELLNESS, LLC
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.