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CLARVIDA
NPI 1285347898
Peer Specialist in Boise, ID

Active since December 28, 2022
545 N BENJAMIN LN STE 185, BOISE, ID 83704(208) 322-1026(208) 322-1029 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Dec 28, 2022 (2 updates tracked since 2022).

About Clarvida NPPES

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

CLARVIDA (NPI 1285347898) is a healthcare organization registered as a peer specialist in Boise, Idaho and active in the NPI registry since December 2022. The organization maintains 3 additional practice locations and lists Lindsey Bowen, Director Of Admin Ops, as its authorized official.

NPPES Registry Identity

NPI1285347898
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NamePATHWAYS OF IDAHO, LLC
Location Address545 N BENJAMIN LN STE 185Boise, ID 83704-9625
Mailing Address545 N Benjamin Ln Ste 185Boise, ID 83704-9625 · (208) 322-1026 · Fax (208) 322-1029
Phone(208) 322-1026
Fax(208) 322-1029
Organization SubpartNo
Authorized OfficialLindsey BowenDirector Of Admin Ops · (208) 856-0466
Enumeration DateDecember 28, 2022
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1285347898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
545 N BENJAMIN LN STE 185, Boise, ID 83704
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Other Names 1

Doing Business AsClarvida

Secondary Practice Locations 3

Location 1540 S 16th St Ste 118Payette, ID 83661-3514 · Phone (208) 642-5079
Location 2204 10th Ave SNampa, ID 83651-3832 · Phone (208) 466-2229
Location 31305 S Kimball AveCaldwell, ID 83605-4542 · Phone (208) 459-1039

Other Identifiers 2

Other20004720ID · Mediciad
OtherID05400ID · Medicare Pin

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

TAMARA ELAINE SHOUP
Case Management
545 N BENJAMIN LN STE 185
BOISE, ID 83704
Ada County (208) 322-1026
TAMARA ANN TRUE
Peer Specialist
545 N BENJAMIN LN STE 185
BOISE, ID 83704
Ada County (208) 322-1026
ELIZABETH CAMPOS BANDA
Case Manager/Care Coordinator
545 N BENJAMIN LN STE 185
BOISE, ID 83704
Ada County (208) 322-1026
PATRICK AMES
Case Management
545 N BENJAMIN LN STE 185
BOISE, ID 83704
Ada County (208) 322-1026
LATISHA COBISKEY
Case Manager/Care Coordinator
545 N BENJAMIN LN STE 185
BOISE, ID 83704
Ada County (208) 322-1026
NATALIE MINETTE MENDOZA- LOPEZ
Case Management
545 N BENJAMIN LN STE 185
BOISE, ID 83704
Ada County (208) 322-1026
ROBERT ALEXANDER THOMPSON
Community Health Worker
545 N BENJAMIN LN STE 185
BOISE, ID 83704
Ada County (208) 322-1026
JESSICA MORGAN KELLY WATERS
Case Management
545 N BENJAMIN LN STE 185
BOISE, ID 83704
Ada County (208) 322-1026

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 Pathways Of Idaho, LLC's NPI number?

The NPI number for Pathways Of Idaho, LLC is 1285347898. It was assigned to this organization in the NPPES registry on December 28, 2022. The provider is doing business as Clarvida.

Where is Pathways Of Idaho, LLC located?

Pathways Of Idaho, LLC is located at 545 N Benjamin Ln Ste 185, Boise, ID 83704. The listed phone number is (208) 322-1026.

What is Pathways Of Idaho, LLC's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Pathways Of Idaho, LLC was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.