1. Home
  2. Directory
  3. Idaho
  4. Meridian
  5. Clinic Center
  6. NPI Profile

IDAHO STATE UNIVERSITY
NPI 1235737347
Clinic/Center - Mental Health (Including Community Mental Health Center) in Meridian, ID

Active since October 12, 2020CLIA 13D2333857 · Waiver
1311 E CENTRAL DR, MERIDIAN, ID 83642(208) 373-1719 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idaho State University NPPES

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

IDAHO STATE UNIVERSITY (NPI 1235737347), doing business as Isu Meridian Counseling Clinic, is a healthcare organization registered as a mental health (including community mental health center) in Meridian, Idaho and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Cynthia Lee Rock, Clinics Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1235737347
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIDAHO STATE UNIVERSITY
Location Address1311 E CENTRAL DRMeridian, ID 83642-7991
Mailing Address1311 E Central DrMeridian, ID 83642-7991 · (208) 373-1719
Phone(208) 373-1719
Organization SubpartYes
Authorized OfficialCynthia Lee RockClinics Director Of Operations · (208) 373-1743
Enumeration DateOctober 12, 2020
NPPES CertifiedOctober 12, 2020
✔ NPI 1235737347 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
1311 E CENTRAL DR, Meridian, ID 83642
Open in Google Maps ↗

Other Names 1

Doing Business AsIsu Meridian Counseling Clinic

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 13D2333857

Idaho State University Physician Assistant Studies Program · Meridian, ID
Active · expires Nov 11, 2027
CLIA Number13D2333857
Laboratory TypeHealth Fair
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorKatelyn E. Macdonald
Laboratory Phone(208) 373-1808
Laboratory LocationIdaho State University Physician Assistant Studies Program1311 E Central Dr Ste 779, Meridian, ID 83642
CLIA data matches this NPI record on: Address Name
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.

DR. GWENDOLYN LUCILLE WILKENING RPH, PHARMD
Pharmacist (Psychiatric)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1734
DR. DIANA ROSA POTHIER DMD
Dentist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1871
DR. KOLE WITT FISHER DMD
Student in an Organized Health Care Education/Training Program
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855
DR. ERIC PAUL CERVIN NELSON D.D.S.
Dentist (General Practice)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855
LEVI WALTERS DDS
Dentist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855
IDAHO STATE UNIVERSITY - MERIDIAN
Speech-Language Pathologist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1728
CASEY FLOWERS
Dentist (General Practice)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855
DR. AUSTIN GIESIGE DDS
Dentist (General Practice)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855

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 Idaho State University's NPI number?

The NPI number for Idaho State University is 1235737347. It was assigned to this organization in the NPPES registry on October 12, 2020. The provider is doing business as ISU Meridian Counseling Clinic.

Where is Idaho State University located?

Idaho State University is located at 1311 E Central Dr, Meridian, ID 83642. The listed phone number is (208) 373-1719.

What is Idaho State University'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.

Does Idaho State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2333857) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idaho State University was last updated on October 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.