P Praxis·MD
● Active Type 2 · Organization

Human Supports Of Idaho, Inc.

Community/Behavioral Health·Boise, ID· NPI 1558404129 · Enumerated 2007 · 19 years on NPI
Human Supports Of Idaho, Inc. is 1 of 806 community/behavioral health organizations in Idaho.
NPI age
19 years
Enumerated 2007-02-14
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dickerson
Administrator
Last NPPES update
2012-12-18
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

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
4477 W Emerald St, Ste C-100
Boise, ID 837062000
📞 2083210160fax 2083210221
Mailing address
Po Box 820
Caldwell, ID 836060820
📞 2084548389fax 2084548404

Authorized official

Gregory L Dickerson, LMSW
Administrator
📞 2083210160

Individual providers at this organization

11 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...
    taxonomy 251S00000X

Identifiers

TypeValueNotes
05 (ID) 002800000

Practice context

Multi-provider organization. 11 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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