NPI age
10 years
Enumerated 2016-05-05
● Active Type 2 · Organization
State Of Idaho
State Of Idaho is 1 of 806 community/behavioral health organizations in Idaho.
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nubile
Clinical Supervisor
Last NPPES update
2016-05-05
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
10 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1720 N Westgate Dr
Boise, ID 837047164
Mailing address
2322 W State St
Boise, ID 837023161
Authorized official
Wayne Nubile, LCPC
Clinical Supervisor
📞 2083340824
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jessica Anderson, RN Registered Nurse NPI 1033635990
- Jessica Baffoe Developmental Therapist NPI 1902266901
- Amy Balzer, LCSW Social Worker NPI 1013379536
- Amy Champ, OTR/L Occupational Therapist NPI 1154799013
- April Crosby, LMSW Social Worker NPI 1578926689
- Dawn Darling, RN Registered Nurse NPI 1457713729
- Charlene Davis Developmental Therapist NPI 1144689068
- James Drake, LPC Counselor NPI 1063752764
- Linda Eiler Developmental Therapist NPI 1770944472
- Nicole Fisher Social Worker NPI 1043673064
- J. Francine Frank, LMSW Social Worker NPI 1275996951
- Brady Green Student in an Organized Health Care Education/Training Program NPI 1720526445
- John Greene, LCSW Social Worker NPI 1730542820
- John Griffin Registered Nurse NPI 1265973788
- Emily Haney Developmental Therapist NPI 1841650462
- Tyson Hansen Social Worker NPI 1427405844
- Jami Hernandez Developmental Therapist NPI 1407216278
- Lorena Hernandez Student in an Organized Health Care Education/Training Program NPI 1326400409
- Melissa Howard, L.M.S.W Social Worker NPI 1043742943
- Tyler Kerns Student in an Organized Health Care Education/Training Program NPI 1154830081
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...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- 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.