PEREGRINE CORP, PC
NPI 1093040917
Counselor - Mental Health in Priest River, ID

Active since October 09, 2009
37 HIGHWAY 57, PRIEST RIVER, ID 83856(208) 448-4855(208) 448-2467 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peregrine Corp, Pc NPPES

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

PEREGRINE CORP, PC (NPI 1093040917) is a healthcare organization registered as a mental health in Priest River, Idaho and active in the NPI registry since October 2009. The organization lists Dorlea Ann Knizley, Board President, as its authorized official.

NPPES Registry Identity

NPI1093040917
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePEREGRINE CORP, PC
Location Address37 HIGHWAY 57Priest River, ID 83856-6559
Mailing AddressPo Box 205Priest River, ID 83856-0205 · (208) 448-4855 · Fax (208) 448-2467
Fax(208) 448-2467
Organization SubpartNo
Authorized OfficialDorlea Ann KnizleyBoard President · (208) 448-4855
Enumeration DateOctober 9, 2009
Last NPPES UpdateSeptember 25, 2013
NPI 1093040917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · LCPC - 139
37 HIGHWAY 57, Priest River, ID 83856

Other Identifiers 4

OtherQ2776Blue Cross Of Idaho
Other000010016976Regence Blueshield
Medicaid807375500ID
Medicaid807348800ID

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 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.

Massage Therapist
37 HIGHWAY 57
PRIEST RIVER, ID 83856
Physical Therapist
37 HIGHWAY 57
PRIEST RIVER, ID 83856

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093040917, enumerated as an "organization" on October 09, 2009.

The provider is located at 37 HIGHWAY 57 PRIEST RIVER, ID 83856 and the phone number is (208) 448-4855.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.