NPI age
11 years
Enumerated 2015-04-29
● Active Type 2 · Organization
Subpart
Unified Healthcare Of Idaho Llc
Unified Healthcare Of Idaho Llc is 1 of 55 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tueller
Owner
Last NPPES update
2016-07-11
Source: monthly bulk 2026-05
How this organization compares
Across 55 active clinic/center providers in Idaho.
NPI age
11 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-04Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
2275 W Broadway St Ste G
Idaho Falls, ID 834022902
Mailing address
2275 W Broadway St Ste G
Idaho Falls, ID 834022902
Authorized official
Thomas Tueller, LCSW
Owner
📞 2082210007
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Ashley Ball, LMSW Social Worker NPI 1407311707
- James Barnes, SUDA Counselor NPI 1467066183
- Shandra Blacker, LMSW Social Worker NPI 1063892750
- Amanda Byrd, CADC Social Worker NPI 1578818381
- Pamela Campbell, LMSW Social Worker NPI 1699051607
- Cody Carlson, LPC Counselor NPI 1790262871
- Julie Carlson, LCSW Counselor NPI 1841882594
- Krisilee Cruz, ISAS Counselor NPI 1790166122
- Bridget Gitthens, LMFT Marriage & Family Therapist NPI 1851173025
- Marcus Golder, LMSW Social Worker NPI 1053656413
- Kaitlin Gotch, LPC Counselor NPI 1174253918
- Paula Green, LMSW Social Worker NPI 1023527181
- Chelsey Hale, LMSW Social Worker NPI 1912286618
- Morgan Humphries, LPC Counselor NPI 1245961572
- Wade Leavitt, LMSW Social Worker NPI 1275015422
- Donalee Meek, LMSW Social Worker NPI 1336824911
- Lisa Perucca, LMSW Counselor NPI 1275109167
- Taylor Red Elk, LCPC Counselor NPI 1578115754
- Tina Ricks, LMSW Counselor NPI 1487091120
- Brittany Smith Social Worker NPI 1558504688
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 847298396 |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Tueller Counseling Inc.
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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.