NPI age
6 years
Enumerated 2019-11-18
● Active Type 2 · Organization
Katherine Wacholz Agency
Katherine Wacholz Agency 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
Wacholz
Independent Provider Professional
Last NPPES update
2019-11-18
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
6 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-11Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
5723 E Dodd Rd
Hayden Lake, ID 838359376
Mailing address
5723 E Dodd Rd
Hayden Lake, ID 838359376
Authorized official
Katherine Wacholz Wacholz, M.ED BIP
Independent Provider Professional
📞 2086991704
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Stanley Wacholz, BS BIS Assistant Behavior Analyst NPI 1548811904
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 |
|---|---|---|
| 05 (ID) | 84-2522234 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Katherine Wacholz Agency
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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