NPI age
18 years
Enumerated 2008-05-01
● Active Type 2 · Organization
The Academy At Roosevelt Center
The Academy At Roosevelt Center is 1 of 185 local education agency (lea) organizations in Idaho.
Primary specialty
Local Education Agency (LEA)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Levesque
Systems Manager
Last NPPES update
2008-05-01
Source: monthly bulk 2026-05
How this organization compares
Across 185 active local education agency (lea) providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
240 E Maple St
Pocatello, ID 832014647
Mailing address
240 E Maple St
Pocatello, ID 832014647
Authorized official
Todd Kenneth Levesque
Systems Manager
📞 2089223093
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Nicole Harman Behavior Technician NPI 1932809811
Specialties
-
Local Education Agency (LEA) PrimaryThe term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8076220 |
Practice context
Multi-provider organization. 1 individual provider 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.