1. Home
  2. Directory
  3. Idaho
  4. Meridian
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IDAHO STATE UNIVERSITY
NPI 1366033094
Clinic/Center - Mental Health (Including Community Mental Health Center) in Meridian, ID

Active since January 26, 2021
1311 E CENTRAL DR, MERIDIAN, ID 83642(208) 373-1979(833) 499-1813 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Mar 24, 2026, Jan 29, 2026 and 2 more (5 updates tracked since 2021).

About Idaho State University NPPES

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

IDAHO STATE UNIVERSITY (NPI 1366033094) is a healthcare organization registered as a mental health (including community mental health center) in Meridian, Idaho and active in the NPI registry since January 2021. The organization lists Cynthia Lee Rock, Clinics Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1366033094
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) 373-1734 · Fax (833) 390-1293
Phone(208) 373-1979
Fax(833) 499-1813
Organization SubpartNo
Authorized OfficialCynthia Lee RockClinics Director Of Operations · (208) 373-1743
Enumeration DateJanuary 26, 2021
Last NPPES UpdateJuly 13, 20265 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1366033094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X
Also ListedPharmacist · Ambulatory CareTaxonomy 1835P2201X
1311 E CENTRAL DR, Meridian, ID 83642
Open in Google Maps ↗

Other Names 1

Other NameIsu Integrated Mental Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

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 1366033094. It was assigned to this organization in the NPPES registry on January 26, 2021. The provider is also known as ISU Integrated Mental Health.

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) 373-1979.

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.

When was this NPI record last updated?

The NPPES record for Idaho State University was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.