NPI age
19 years
Enumerated 2007-02-28
● Active Type 2 · Organization
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda is 1 of 93 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gussenhoven
Program Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 93 active clinic/center providers in Idaho.
NPI age
19 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2195 Ironwood Ct
Coeur D Alene, ID 838142628
Mailing address
2195 Ironwood Ct
Coeur D Alene, ID 838142628
Authorized official
Cora Jo Gussenhoven
Program Manager
📞 2087691406
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Breanna Ammari Developmental Therapist NPI 1255791497
- Jamie Arbogast, LCSW Social Worker NPI 1235590191
- Sarena Clark Case Manager/Care Coordinator NPI 1609461185
- Angela Cook, RN Registered Nurse NPI 1891157608
- Gayle Dohrman Specialist NPI 1952772196
- Kristina Farmin, LMSW Social Worker NPI 1396106381
- Laurie Gallegos, PA-C Physician Assistant NPI 1215926258
- Vallenthia Johnson, LMSW Social Worker NPI 1295201663
- Georjean Kessen, LMSW Social Worker NPI 1376905174
- Kelli Jo McKee Developmental Therapist NPI 1023470853
- Richard Perry, NURSE PRACTITIONER Nurse Practitioner NPI 1215236310
- Jennifer Rhodes, MD Psychiatry & Neurology NPI 1265750707
- Alissa Rice, LMSW Social Worker NPI 1871118752
- Sheila Ripley, MS CPRP Counselor NPI 1770944621
- Tracy Rudd-Heilig Social Worker NPI 1528417839
- Amanda Stearns, MS CCC-SLP Speech-Language Pathologist NPI 1982073631
- Kristin Stein Developmental Therapist NPI 1710347117
- Kari Walker Specialist/Technologist NPI 1861061509
- Sharma Walker-Thornton, LPC Counselor NPI 1114575958
- Ted Warstadt Counselor NPI 1225499189
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 000010018348 | BLUE SHIELD |
| 05 (ID) | 8073574 | |
| 01 | HW256 | BLUE CROSS OF IDAHO |
Practice context
Multi-provider organization. 20 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.