NPI age
19 years
Enumerated 2007-01-25
● Active Type 2 · Organization
Mountain States Group, Inc
Mountain States Group, Inc 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
Cobbs
Executive Director
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1607 W Jefferson St
Boise, ID 837025111
Mailing address
1607 W Jefferson St
Boise, ID 837025111
Authorized official
Hartzell Cobbs, REL.D.
Executive Director
📞 2083365533
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Deme Dellairo, LCSW Social Worker NPI 1952447450
- Andrea Leeds, LCSW Counselor NPI 1295863157
- Julie Schrader, NP Nurse Practitioner NPI 1932303104
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010144428 | REGENCEBLUESHIELDCLINIC |
| 01 (ID) | 8H237 | MENTAL HEALTH CLINIC BCI |
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 →
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