NPI age
9 years
Enumerated 2017-05-01
● Active Type 2 · Organization
Pride Mental Health
Pride Mental Health is 1 of 806 community/behavioral health organizations in Idaho.
Primary specialty
Community/Behavioral Health
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mullen
Owner/operator
Last NPPES update
2024-09-18
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
9 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
5
In the 16% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-05Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
9488 W Fairview Ave
Boise, ID 837048101
Mailing address
9488 W Fairview Ave
Boise, ID 837048101
Authorized official
Dane M. Mullen, B.S., CPRP
Owner/operator
📞 2083222928
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Blake Durst, LPC Counselor NPI 1902551187
- Neeka Rogers, MS, LPC Counselor NPI 1013435379
Specialties
-
Community/Behavioral Health PrimaryA 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...
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Case ManagementAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
-
Clinic/CenterA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
-
Clinic/CenterDefinition to come...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Nurse PractitionerDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pride Mental Health
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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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.