TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC
NPI 1194962829
Clinic/Center - Mental Health (Including Community Mental Health Center) in Boise, ID
NPI Status: Active since January 16, 2009
Contact Information
12553 W EXPLORER DR STE 190
BOISE, ID
ZIP 83713
Phone: (208) 376-7083
Fax: (208) 321-5069
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 13D1095117
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 02-02-2027
About TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC
This page provides the complete NPI Profile along with additional information for Trivium Life Services Mountain West, Llc, a provider established in Boise, Idaho operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1194962829 assigned on January 2009. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's
- NPI
- 1194962829
- Provider Legal Name
- TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 12553 W EXPLORER DR STE 190 BOISE, ID 83713
- Location Phone
- (208) 376-7083
- Location Fax
- (208) 321-5069
- Mailing Address
- 12553 W EXPLORER DR STE 190 BOISE, ID 83713
- Mailing Phone
- (208) 376-7083
- Mailing Fax
- (208) 321-5069
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2009
- Last Update Date
- 03-05-2026
- Code Navigator
Location Map
Secondary Locations
- 709 Dearborn St
Caldwell, ID 83605
(208) 376-7083
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D1095117
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- February 03, 2025
- Certificate Expiration Date
- February 02, 2027
- Laboratory Director
- KERSONDRA HOOD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Trivium Life Services Mountain West, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194962829, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOISE, ID 83713
BOISE, ID 83713
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194962829, enumerated as an "organization" on January 16, 2009.
The provider is located at 12553 W EXPLORER DR STE 190 BOISE, ID 83713 and the phone number is (208) 376-7083.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
