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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IDAHO PSYCHOLOGICAL RESOURCES LLC
NPI 1063918464
Social Worker in Mackay, ID

Active since April 04, 2018
4433 BEVERLAND ROAD, MACKAY, ID 83251(208) 588-5770(208) 588-2984 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Jun 21, 2021, Dec 13, 2018 and 1 more (4 updates tracked since 2018).

About Idaho Psychological Resources Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO PSYCHOLOGICAL RESOURCES LLC (NPI 1063918464) is a healthcare organization registered as a social worker in Mackay, Idaho and active in the NPI registry since April 2018. The organization lists Alexis Gamett, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1063918464
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameIDAHO PSYCHOLOGICAL RESOURCES LLC
Location Address4433 BEVERLAND ROADMackay, ID 83251
Mailing AddressPo Box 402Mackay, ID 83251-0402 · (208) 588-2770 · Fax (208) 588-2984
Phone(208) 588-5770
Fax(208) 588-2984
Organization SubpartNo
Authorized OfficialAlexis GamettAdminstrator · (208) 604-5193
Enumeration DateApril 4, 2018
Last NPPES UpdateJuly 6, 20264 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1063918464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ID · LCSW-27821
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LPC-3661 (ID)
4433 BEVERLAND ROAD, Mackay, ID 83251
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEFFERSON H KRACZEK LCSW
Counselor (Mental Health)
4433 BEVERLAND ROAD
MACKAY, ID 83251
Custer County (208) 588-2770
VALLEY VISTA CARE CORPORATION
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
4433 BEVERLAND ROAD
MACKAY, ID 83251
Custer County (208) 588-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Psychological Resources LLC's NPI number?

The NPI number for Idaho Psychological Resources LLC is 1063918464. It was assigned to this organization in the NPPES registry on April 4, 2018.

Where is Idaho Psychological Resources LLC located?

Idaho Psychological Resources LLC is located at 4433 Beverland Road, Mackay, ID 83251. The listed phone number is (208) 588-5770.

What is Idaho Psychological Resources LLC's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Idaho Psychological Resources LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.