NPI age
19 years
Enumerated 2007-03-06
● Active Type 2 · Organization
Idaho Dept Of Health & Welfare Amh Psr Mt Home
Idaho Dept Of Health & Welfare Amh Psr Mt Home 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
Westcott
Program Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2420 American Legion Blvd
Mountain Home, ID 836473146
Mailing address
1720 Westgate Dr, Suite B-1
Boise, ID 837047164
Authorized official
Gina Westcott, M.A.
Program Manager
📞 2083340969
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Tiahna Fairbanks, BA Developmental Therapist NPI 1407217987
- Jessica Harris Counselor NPI 1306297379
- Jaysa Pilant, LMSW Social Worker NPI 1013425487
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8073418 | |
| 01 | 000010018973 | BLUE SHIELD |
| 01 | HW280 | BLUE CROSS OF IDAHO |
Practice context
Multi-provider organization. 3 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.