TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC
NPI 1194962829
Clinic/Center - Mental Health (Including Community Mental Health Center) in Boise, ID

Q: What is Trivium Life Services Mountain West, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 16, 2009CLIA 13D1095117 · Waiver

12553 W EXPLORER DR STE 190, BOISE, ID 83713(208) 376-7083(208) 321-5069 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Nov 19, 2025, Oct 9, 2025 and 3 more (6 updates tracked since 2021).

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About Trivium Life Services Mountain West, Llc NPPES

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

TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC (NPI 1194962829), doing business as Recovery 4 Life, is a healthcare organization registered as a mental health (including community mental health center) in Boise, Idaho and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through February 2, 2027, maintains a secondary practice location in Caldwell, and lists Michelle Francesca Schaller, Senior Director Of Bh & Rcm, as its authorized official.

NPPES Registry Identity

NPI1194962829

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameTRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC

Location Address12553 W EXPLORER DR STE 190Boise, ID 83713-1612

Mailing Address12553 W Explorer Dr Ste 190Boise, ID 83713-1612 · (208) 376-7083 · Fax (208) 321-5069

Phone(208) 376-7083

Fax(208) 321-5069

Organization SubpartNo

Authorized OfficialMichelle Francesca SchallerSenior Director Of Bh & Rcm · (712) 355-8480

Enumeration DateJanuary 16, 2009

Last NPPES UpdateMarch 5, 20266 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1194962829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

12553 W EXPLORER DR STE 190, Boise, ID 83713

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Other Names 3

Doing Business AsRecovery 4 Life

Doing Business AsTrivium Life Services

Former Legal Business NameJx2

Secondary Practice Location 1

Location 1709 Dearborn StCaldwell, ID 83605-4116 · Phone (208) 376-7083

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D1095117

Trivium Life Services · Boise, ID

Active · expires Feb 2, 2027

CLIA Number13D1095117

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateFebruary 3, 2025

Certificate Expiration DateFebruary 2, 2027

Laboratory DirectorKersondra Hood

Laboratory Phone(208) 376-7083

Laboratory LocationTrivium Life Services8950 W Emerald St #178, Boise, ID 83704

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

AMBER LAROCCO CADC

Peer Specialist