NPI age
2 years
Enumerated 2024-01-09
● Active Type 2 · Organization
Idaho State University
Idaho State University is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rock
Clinics Director Of Operations
Last NPPES update
2024-02-27
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
2 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-01Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
421 Memorial Dr
Pocatello, ID 832014008
Mailing address
921 S 8th Ave Stop 8311
Pocatello, ID 832015377
Authorized official
Cynthia Lee Rock
Clinics Director Of Operations
📞 2083731743
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Richard Bloxham, LSW Social Worker NPI 1588026553
- Linda Carter, MD Psychiatry & Neurology NPI 1912046525
- Sydney Chapman, BA Developmental Therapist NPI 1295317543
- William Eckersell, LCPC Counselor NPI 1346602430
- Karen Gonzalez, LMSW Social Worker NPI 1568014066
- Danson Hall, DPT Physical Therapist NPI 1144723123
- Kyle Hanson, LPC Counselor NPI 1942656020
- Braun Inslee, LMHC, LPC Counselor NPI 1013564103
- Rebecca Klingler, PMHNP Nurse Practitioner NPI 1235624834
- Tonja Knapp, RN Registered Nurse NPI 1487016218
- Idelia Labra Developmental Therapist NPI 1508226408
- Anne Miller, LCSW Social Worker NPI 1164884052
- Rachel Miller Developmental Therapist NPI 1003545161
- Michele Osmond, LCPC Counselor NPI 1053773952
- Bailey Rainey Developmental Therapist NPI 1548756869
- Andrea Rausch, BA-ECSE Developmental Therapist NPI 1467812685
- Keri Smith Developmental Therapist NPI 1619631249
- Jessica Sturman Developmental Therapist NPI 1093175218
- Jordan Thomas, LPC Counselor NPI 1578351045
- Kelley Tillotson, R.N., BSN Registered Nurse NPI 1346602091
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ISU Community Psychiatric Center
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 326 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →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.