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CANVI BEHAVIORAL HEALTH PLLC
NPI 1144984873
Nurse Practitioner - Psychiatric/Mental Health in Chubbuck, ID

Active since October 28, 2021
4650 HAWTHORNE RD STE 3B, CHUBBUCK, ID 83202(208) 252-5621(208) 648-4167 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2024, Apr 13, 2022, Jan 6, 2022 and 1 more (4 updates tracked since 2021).

About Canvi Behavioral Health Pllc NPPES

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

CANVI BEHAVIORAL HEALTH PLLC (NPI 1144984873) is a healthcare organization registered as a psychiatric/mental health in Chubbuck, Idaho and active in the NPI registry since October 2021. The organization maintains 4 additional practice locations and lists Krista Batts, Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1144984873
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCANVI BEHAVIORAL HEALTH PLLC
Location Address4650 HAWTHORNE RD STE 3BChubbuck, ID 83202-2376
Mailing AddressPo Box 2516Pocatello, ID 83206-2516 · (208) 380-4978 · Fax (208) 648-4063
Phone(208) 252-5621
Fax(208) 648-4167
Organization SubpartNo
Authorized OfficialKrista BattsContracting Manager · (208) 380-4978
Enumeration DateOctober 28, 2021
Last NPPES UpdateApril 12, 20244 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1144984873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPhysician AssistantTaxonomy 363A00000X
4650 HAWTHORNE RD STE 3B, Chubbuck, ID 83202
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1347 W Gordon Ave Ste 1Layton, UT 84041-2389 · Phone (801) 896-5341 · Fax (801) 896-5334
Location 2333 W Cedar St Ste 3Pocatello, ID 83201-5045 · Phone (208) 252-5621 · Fax (208) 648-4167
Location 3476 Heritage Park Blvd Ste 230Layton, UT 84041-5636 · Phone (801) 896-5345 · Fax (801) 896-5334
Location 41120 Stocks Ave Ste 102Rexburg, ID 83440-3508 · Phone (208) 745-2580 · Fax (208) 648-4167

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canvi Behavioral Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Canvi Behavioral Health PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner10
Marriage and Family Therapist3
Psychiatry2
Mental Health Counselor1

Clinicians, nearest first (16)

Amy Belnap, PMHNP
Nurse Practitioner
NPI 1699202044
4650 HAWTHORNE RD STE 3B
Chubbuck, ID 83202
(208) 252-5621
✔ PECOS✔ Accepts MedicareSame address
Hyrum Davenport, NP
Nurse Practitioner
NPI 1255567210
4650 HAWTHORNE RD STE 3B
Chubbuck, ID 83202
(208) 252-5621
✔ PECOS✔ Accepts MedicareSame address
Matt Kam
Marriage and Family Therapist
NPI 1457646895
4650 HAWTHORNE RD STE 3B
Chubbuck, ID 83202
(208) 252-5621
✔ PECOS✔ Accepts MedicareSame address
Margo Northrup
Nurse Practitioner
NPI 1215757919
4650 HAWTHORNE RD STE 3B
Chubbuck, ID 83202
(208) 252-5621
✔ PECOS✔ Accepts MedicareSame address
Melaynia Sapp, PMHNP
Nurse Practitioner
NPI 1275379968
4650 HAWTHORNE RD STE 3B
Chubbuck, ID 83202
(208) 252-5621
✔ PECOS✔ Accepts MedicareSame address
Victor Thomas
Marriage and Family Therapist
NPI 1518708171
4650 HAWTHORNE RD STE 3B
Chubbuck, ID 83202
(208) 648-4167
✔ PECOS✔ Accepts MedicareSame address
Tara Arocho, NP
Nurse Practitioner
NPI 1649952953
4650 HAWTHORNE RD STE 3B
Chubbuck, ID 83202
(208) 252-5621
✔ PECOS✔ Accepts MedicareSame address
Jennie Brumfield, PMHNP
Nurse Practitioner
NPI 1811369689
1000 N 8TH AVE
Pocatello, ID 83201
(208) 232-6260
✔ PECOS✔ Accepts Medicare3.3 mi
Rebecca Klingler, PMHNP
Nurse Practitioner
NPI 1235624834
421 MEMORIAL DR
Pocatello, ID 83201
(208) 234-7900
✔ PECOS✔ Accepts Medicare4.1 mi
Kelly Palmer, D.O.
Psychiatry
NPI 1184780694
700 EAST ALICE STREET
Blackfoot, ID 83221
(208) 785-8517
✔ PECOS✔ Accepts Medicare20 mi
Matthew Dunham
Marriage and Family Therapist
NPI 1700159852
1120 STOCKS AVE STE 102
Rexburg, ID 83440
(801) 896-5345
✔ PECOS✔ Accepts Medicare73 mi
Kay Martens, FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1538708862
334 E 200 S
Burley, ID 83318
(208) 260-0961
✔ PECOS✔ Accepts Medicare77 mi
Lisa Fraleigh, D.O.
Psychiatry
NPI 1558478115
112 E 100 N SUITE A
Logan, UT 84321
(435) 213-3797
✔ PECOS✔ Accepts Medicare88 mi
Crystal Valdez, LPC
Mental Health Counselor
NPI 1275003246
476 HERITAGE PARK BLVD STE 230
Layton, UT 84041
(801) 896-5345
✔ PECOS✔ Accepts Medicare129 mi
Brian Mitchell, PMHNP
Nurse Practitioner
NPI 1881453488
476 HERITAGE PK BLVD STE 230
Layton, UT 84041
(801) 896-5345
✔ PECOS✔ Accepts Medicare129 mi
Kim Sundstrom, DNP, APRN, PMHNP-BC
Nurse Practitioner
NPI 1053159624
9289 S REDWOOD RD STE C
West Jordan, UT 84088
(801) 568-2898
✔ PECOS164 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Canvi Behavioral Health PLLC's NPI number?

The NPI number for Canvi Behavioral Health PLLC is 1144984873. It was assigned to this organization in the NPPES registry on October 28, 2021.

Where is Canvi Behavioral Health PLLC located?

Canvi Behavioral Health PLLC is located at 4650 Hawthorne Rd Ste 3B, Chubbuck, ID 83202. The listed phone number is (208) 252-5621.

What is Canvi Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Canvi Behavioral Health PLLC enrolled in Medicare?

Yes. Canvi Behavioral Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Canvi Behavioral Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Canvi Behavioral Health PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Marriage and Family Therapist (3) and Psychiatry (2). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Canvi Behavioral Health PLLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Canvi Behavioral Health PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canvi Behavioral Health PLLC was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.