AUTUMN NIKOLE HENNESSY KAHEA CPSS
NPI 1124994454
Peer Specialist in Pocatello, ID

Active since October 14, 2025
611 WILSON AVE STE 5, POCATELLO, ID 83201(208) 915-8448 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autumn Nikole Hennessy Kahea Cpss NPPES

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

AUTUMN NIKOLE HENNESSY KAHEA CPSS (NPI 1124994454) is an individual peer specialist in Pocatello, Idaho and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1124994454
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAUTUMN NIKOLE HENNESSY KAHEACredential: CPSS
Location Address611 WILSON AVE STE 5Pocatello, ID 83201-5046
Mailing Address506 W 37 SBlackfoot, ID 83221-6177 · (208) 915-8448
Sole ProprietorNo
Enumeration DateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
NPI 1124994454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
611 WILSON AVE STE 5, Pocatello, ID 83201

Other Providers at the Same Location NPPES 11

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

Peer Specialist
611 WILSON AVE STE 5
POCATELLO, ID 83201
Rehabilitation Practitioner
611 WILSON AVE STE 5
POCATELLO, ID 83201
Family Medicine
611 WILSON AVE STE 5
POCATELLO, ID 83201
Case Management
611 WILSON AVE STE 5
POCATELLO, ID 83201
Community/Behavioral Health
611 WILSON AVE STE 5
POCATELLO, ID 83201
Peer Specialist
611 WILSON AVE STE 5
POCATELLO, ID 83201
Counselor
611 WILSON AVE STE 5
POCATELLO, ID 83201
Social Worker
611 WILSON AVE STE 5
POCATELLO, ID 83201

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 Autumn Kahea's NPI number?

The NPI number for Autumn Kahea is 1124994454. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Where is Autumn Kahea located?

Autumn Kahea practices at 611 Wilson Ave Ste 5, Pocatello, ID 83201. The listed phone number is (208) 915-8448.

What is Autumn Kahea's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Autumn Kahea was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.