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NPI 1861962698
● Active Type 2 · Organization
Canopy Behavioral Health, Pllc
Counselor · Meridian, ID · NPI 1861962698
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Enumerated 2018 · 7 years on NPI
Canopy Behavioral Health, Pllc is 1 of 1313 counselor organizations in Idaho.
NPI age
7 years
Enumerated 2018-12-05
Primary specialty
Counselor
Plus 3 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Szudera
Owner/clinical Director
Last NPPES update
2024-09-26
Source: monthly bulk 2026-05
How this organization compares
Across 1313 active counselor providers in Idaho.
NPI age
7 years
↓ 2 yr below median
Practice locations
2
1 secondary on file
Subspecialties
3
In the 24% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-12 Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
750 W Ustick Rd Ste 120
Meridian, ID 836466133
📞 2082739521 fax 2085022538
Mailing address
773 Dexter Dr
Broomfield, CO 800201509
📞 2082739521
Additional practice locations
1 secondary location on file with NPPES.
Location 2
80 Garden Ctr Ste 252
Broomfield, CO 800201735
📞 7067207508 fax 2085022538
Authorized official
John William Szudera, MS, LMFT, LCPC
Owner/clinical Director
📞 2082739521
Individual providers at this organization
10 individual providers on file at this primary practice address.
Dianira Cortez , LPC
Counselor
NPI 1104523042
Luis Cortez , LPC
Counselor
NPI 1841671971
Krista Doubleday , LPC
Counselor
NPI 1235624578
Kaylee Farrell , LPC
Counselor
NPI 1801623848
Kristin Fehrer
Counselor
NPI 1952715690
Amber Irvine , LPC, NCC
Counselor
NPI 1962013821
Renee Johanson , LCPC
Counselor
NPI 1063080265
Rebecca Johnson , LMSW
Social Worker
NPI 1174141337
Shelby Martini , LPC, NCC
Counselor
NPI 1013655893
Stacy Pineda , LAMFT
Marriage & Family Therapist
NPI 1356989099
Specialties
Counselor
Primary
Definition to come...
taxonomy 101YP2500X
Counselor
Definition to come...
taxonomy 101YM0800X
Marriage & Family Therapist
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family...
taxonomy 106H00000X
Social Worker
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
taxonomy 104100000X
Practice context
Multi-provider organization.
10 individual providers on file at this primary address.
Plus 1 secondary practice location.
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.