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LATINO STAND UP
NPI 1164781365
Clinic/Center - Adolescent and Children Mental Health in Idaho Falls, ID

Active since May 08, 2012
1420 E 17TH ST STE E, IDAHO FALLS, ID 83404(208) 528-5434(208) 522-4364 Get Directions Write a Review

NPPES record last updated: March 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latino Stand Up NPPES

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

LATINO STAND UP (NPI 1164781365) is a healthcare organization registered as an adolescent and children mental health in Idaho Falls, Idaho and active in the NPI registry since May 2012. The organization lists Roger T Horne, Owner, as its authorized official.

NPPES Registry Identity

NPI1164781365
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameLATINO STAND UP
Location Address1420 E 17TH ST STE EIdaho Falls, ID 83404-6283
Mailing Address1420 E 17th St Ste EIdaho Falls, ID 83404-6283 · (208) 528-5434 · Fax (208) 522-4364
Phone(208) 528-5434
Fax(208) 522-4364
Organization SubpartNo
Authorized OfficialRoger T HorneOwner · (910) 573-0861
Enumeration DateMay 8, 2012
Last NPPES UpdateMarch 31, 2013
✔ NPI 1164781365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
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.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1420 E 17TH ST STE E, Idaho Falls, ID 83404
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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 Latino Stand Up's NPI number?

The NPI number for Latino Stand Up is 1164781365. It was assigned to this organization in the NPPES registry on May 8, 2012.

Where is Latino Stand Up located?

Latino Stand Up is located at 1420 E 17th St Ste E, Idaho Falls, ID 83404. The listed phone number is (208) 528-5434.

What is Latino Stand Up's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Latino Stand Up was last updated on March 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.