DR. RENEE LYNN BOZORG-OMID LPC
NPI 1235376062
Counselor - Professional in Pocatello, ID

Q: What is Renee Bozorg-omid's NPI number?

The NPI number for Renee Bozorg-omid is 1235376062. It was assigned to this individual provider in the NPPES registry on January 15, 2009.

Q: What is Renee Bozorg-omid's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Renee Bozorg-omid was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 15, 2009

500 S 11TH AVE STE 302, POCATELLO, ID 83201(208) 233-0150 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Renee Lynn Bozorg-omid Lpc NPPES

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

DR. RENEE LYNN BOZORG-OMID LPC (NPI 1235376062) is an individual professional provider in Pocatello, Idaho, licensed in Idaho (LPC 3249) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1235376062

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDR. RENEE LYNN BOZORG-OMIDCredential: LPC

Location Address500 S 11TH AVE STE 302Pocatello, ID 83201-4879

Mailing AddressPo Box 4455Pocatello, ID 83205-4455 · (912) 660-2674

Phone(208) 233-0150

Sole ProprietorYes

Enumeration DateJanuary 15, 2009

✔ NPI 1235376062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ID · LPC 3249

500 S 11TH AVE STE 302, Pocatello, ID 83201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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 Renee Bozorg-omid's NPI number?

The NPI number for Renee Bozorg-omid is 1235376062. It was assigned to this individual provider in the NPPES registry on January 15, 2009.

Where is Renee Bozorg-omid located?

Renee Bozorg-omid practices at 500 S 11th Ave Ste 302, Pocatello, ID 83201. The listed phone number is (208) 233-0150.

What is Renee Bozorg-omid's specialty?

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

What insurance does Renee Bozorg-omid accept?

Health plans from PacificSource Health Plans list Renee Bozorg-omid 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 Renee Bozorg-omid was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.