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PORTNEUF VALLEY FAMILY CENTER
NPI 1174629976
Counselor - Professional in Pocatello, ID

Active since September 16, 2006
444 HOSPITAL WAY STE 477, POCATELLO, ID 83201(208) 233-7832(208) 233-7835 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Oct 22, 2021 (2 updates tracked since 2021).

About Portneuf Valley Family Center NPPES

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

PORTNEUF VALLEY FAMILY CENTER (NPI 1174629976) is a healthcare organization registered as a professional in Pocatello, Idaho and active in the NPI registry since September 2006. The organization lists Robert De Wall, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1174629976
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePORTNEUF VALLEY FAMILY CENTER
Location Address444 HOSPITAL WAY STE 477Pocatello, ID 83201-2744
Mailing Address444 Hospital Way Ste 477Pocatello, ID 83201-2744 · (208) 233-7832 · Fax (208) 233-7835
Phone(208) 233-7832
Fax(208) 233-7835
Organization SubpartNo
Authorized OfficialRobert De WallOwner/administrator · (208) 233-7832
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1174629976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
444 HOSPITAL WAY STE 477, Pocatello, ID 83201
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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

Other Providers at the Same Location NPPES 17

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

MRS. AMBER CAROLYNN MALAY BS
Case Manager/Care Coordinator
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
BECKY LOBO
Social Worker
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 236-1600
ROBERT ANDREW DE WALL LCPC
Counselor (Professional)
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
KELLY LIND
Social Worker
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
OLIVIA THERESA NGADJUI LPC
Counselor (Professional)
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
TRINETY LYNN CAMPBELL LMSW
Social Worker
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
COLLETTE CARTER GREGERSEN LPC
Counselor (Professional)
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
ELIZABETH TORBENSON LPC
Counselor (Professional)
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832

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 Portneuf Valley Family Center's NPI number?

The NPI number for Portneuf Valley Family Center is 1174629976. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Portneuf Valley Family Center located?

Portneuf Valley Family Center is located at 444 Hospital Way Ste 477, Pocatello, ID 83201. The listed phone number is (208) 233-7832.

What is Portneuf Valley Family Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Portneuf Valley Family Center was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.