NPI age
12 years
Enumerated 2014-04-14
● Active Type 2 · Organization
Stellar Mental Health & Mediation, Llc
Stellar Mental Health & Mediation, Llc is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Moreno
Owner/program Manager
Last NPPES update
2023-07-20
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
12 years
↑ 7 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-04Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
923 16th Ave S
Nampa, ID 836514731
Mailing address
923 16th Ave S
Nampa, ID 836514731
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3904 E Flamingo Ave
Nampa, ID 836873102
Authorized official
Jeffrey Ryan Moreno, LSCW
Owner/program Manager
📞 2086391514
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Jessica Chilcott, LCSW Social Worker NPI 1104248194
- Jeff Moreno, L.C.S.W. Social Worker NPI 1083983514
- Edward Northam, PH.D. Counselor NPI 1326059072
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address. Plus 1 secondary practice location.
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- 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.