IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC REXBURG (NPI# 1447386867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447386867 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH CLINIC REXBURG |
| Practice Address |
333 Walker Dr Rexburg ID 83440-1657 |
| Practice Telephone | 2083594751 |
| Practice Fax Number | 2083565461 |
| Mailing Telephone | 2083594751 |
| Mailing Fax Number | 2083565461 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MELISSA M BEAN (PROGRAM MANAGER) |
| Authorized Official Telephone | 2085285706 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 8074323 | 05 | |
| BLUE SHIELD | 000010019677 | 01 | |
| BLUE CROSS OF IDAHO | HW157 | 01 |
| Street Address |
333 WALKER DR |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316073190 | Idaho Dept of Health & Welfare Region 7 Amh Psr Rexburg | Clinic/Center | 333 Walker Dr, Rexburg, ID 83440-1657 | 2007-02-26 |
| 1245694298 | Kimberly Clark | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-04-06 |
| 1306209101 | Linda I Price | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-30 |
| 1235591298 | Judy Nelson | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-28 |
| 1831551894 | Melissa Clinger | Social Worker | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-28 |
| 1639539786 | Sadie N. Evans | Specialist | 333 Walker Dr, Rexburg, ID 83440-1657 | 2016-03-02 |
| 1508992926 | Idaho Dept of Health & Welfare Region 7 Cmh Psr Rexburg | Clinic/Center | 333 Walker Dr, Rexburg, ID 83440-1657 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354318 | Counseling & Treatment Center of Idaho, LLC | Clinic/Center | 859 S Yellowstone Hwy Ste 302, Rexburg, ID 83440-5294 | 2020-01-03 |
| 1801274790 | Integrated Counseling and Wellness | Clinic/Center | 101 E Main St Ste 210, Rexburg, ID 83440-2017 | 2015-05-11 |
| 1023141116 | Brannon & Brannon Psychological Services Pa | Clinic/Center | 534 Trejo Street, Suite 100, Rexburg, ID 83440 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508405945 | Nate Bonovitz Counseling, LLC | Clinic/Center | 1151 E Iron Eagle Dr, Eagle, ID 83616-6854 | 2020-01-02 |
| 1720620750 | Jim Smidt | Clinic/Center | 820 N William St, Post Falls, ID 83854-5123 | 2019-10-10 |
| 1225507668 | Summus Counseling, LLC | Clinic/Center | 211 S Woodruff Ave Ste 13, Idaho Falls, ID 83401-4324 | 2018-11-14 |
| 1750705687 | Answers, LLC | Clinic/Center | 527 W 20th St, Idaho Falls, ID 83402-4421 | 2014-02-12 |
| 1124372370 | A Plus Solutions Center | Clinic/Center | 2311 Parke Ave. Unit 3, Suite 12, Burley, ID 83318 | 2012-11-08 |
| 1598012700 | Tueller Counseling Services | Clinic/Center | 2275 West Broadway Suite G, Idaho Falls, ID 83402 | 2012-08-07 |
| 1952674988 | My Brother's Keeper Mbk | Clinic/Center | 704 S Cole Rd, Boise, ID 83709-1861 | 2012-02-22 |
| 1639476294 | Idaho Dept of Health & Welfare Reg 2 Cmh | Clinic/Center | 1350 Troy Highway, Moscow, ID 83843-3995 | 2011-02-17 |
| 1154639714 | Eartherapy | Clinic/Center | 354 W Sunnyside Rd, Suite D, Idaho Falls, ID 83402-4644 | 2010-09-16 |
| 1104048503 | Community Partnerships of Idaho, Inc. | Clinic/Center | 3214 N Acre Ln, Boise, ID 83704-4501 | 2007-05-03 |
| 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.