NEW HORIZONS MENTAL WELLNESS CLINICS PLLC (NPI# 1285029496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285029496 |
| Entity Type | Organization |
| Organization Name | NEW HORIZONS MENTAL WELLNESS CLINICS PLLC |
| Practice Address |
1352 E Center St Suite A Pocatello ID 83201-4734 |
| Practice Telephone | 2082332025 |
| Practice Fax Number | 2082332178 |
| Mailing Telephone | 2082332025 |
| Mailing Fax Number | 2082332178 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | DARRIN ROBERTSON (OWNER) |
| Authorized Official Telephone | 2082332025 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
NP1034A | ID | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1750621116 | 05 |
| Street Address |
1352 E CENTER ST SUITE A |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760597462 | Karen Dickerson | Physician Assistant | 1352 E Center St, Pocatello, ID 83201-4734 | 2006-08-20 |
| 1770939084 | Linsey Branson | Nurse Practitioner | 1352 E Center St, Pocatello, ID 83201 | 2016-05-05 |
| 1134404718 | Zoe Interventional Pain Management | Non-Pharmacy Dispensing Site | 1352 E Center St, Suite A, Pocatello, ID 83201-4734 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| 1598172785 | Patricia Pilon | Registered Nurse | 4619 N Station Pl, Meridian, ID 83646-5473 | 2014-07-19 |
| 1669097242 | Beth Pierce | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2020-06-10 |
| 1912411521 | Joseph Alan Coones | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2017-11-20 |
| 1659884153 | Jennifer Ann Leuck | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2017-11-07 |
| 1770027765 | Kelly Ragland | Registered Nurse | 960 S Broadway Ave, Suite 505, Boise, ID 83706-3600 | 2016-12-09 |
| 1922541515 | Lisa Marconi | Registered Nurse | 960 S Broadway Ave, Suite 505, Boise, ID 83706-3600 | 2016-11-30 |
| 1215307418 | Angelica C Gumb | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2015-09-30 |
| 1710357371 | Diane Atkinson | Registered Nurse | 500 W Fort St, Boise, ID 83702-4501 | 2015-09-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.