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

Active since January 16, 2009
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: November 01, 2026.

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

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 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
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

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

Accepted 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)

Trivium Life Services Mountain West, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Trivium Life Services Mountain West, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Clinical Social Worker
NPI 1144881418
12553 W EXPLORER DR STE 190
Boise, ID 83713
(208) 376-7083
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1750973715
12553 W EXPLORER DR STE 190
Boise, ID 83713
(208) 608-9485
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1902240062
12553 W EXPLORER DR STE 190
Boise, ID 83713
(208) 376-7083
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1477994994
967 E PARKCENTER BLVD # 1051
Boise, ID 83706
(208) 720-9670
✔ PECOS✔ Accepts Medicare10 mi
Clinical Social Worker
NPI 1467045583
709 DEARBORN ST
Caldwell, ID 83605
(208) 957-8193
✔ PECOS18 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 Trivium Life Services Mountain West, LLC's NPI number?

The NPI number for Trivium Life Services Mountain West, LLC is 1194962829. It was assigned to this organization in the NPPES registry on January 16, 2009. The provider is doing business as Recovery 4 Life and Trivium Life Services. The provider was formerly known as Jx2.

Where is Trivium Life Services Mountain West, LLC located?

Trivium Life Services Mountain West, LLC is located at 12553 W Explorer Dr Ste 190, Boise, ID 83713. The listed phone number is (208) 376-7083.

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.

Is Trivium Life Services Mountain West, LLC enrolled in Medicare?

Yes. Trivium Life Services Mountain West, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trivium Life Services Mountain West, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Trivium Life Services Mountain West, LLC. 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 Clinical Social Worker (4) and Nurse Practitioner (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Trivium Life Services Mountain West, LLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Trivium Life Services Mountain West, LLC 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 Trivium Life Services Mountain West, LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.