AUTUMN LEAVES PSYCHIATRY, PLLC
NPI 1396326096
Clinic/Center - Mental Health (Including Community Mental Health Center) in Idaho Falls, ID

Active since April 15, 2021
3670 S 25TH E STE 4, IDAHO FALLS, ID 83404(208) 821-0357 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2021, Apr 15, 2021 (2 updates tracked since 2021).

About Autumn Leaves Psychiatry, Pllc NPPES

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

AUTUMN LEAVES PSYCHIATRY, PLLC (NPI 1396326096) is a healthcare organization registered as a mental health (including community mental health center) in Idaho Falls, Idaho and active in the NPI registry since April 2021. The organization lists Merjurie F Ricklefs, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1396326096
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameAUTUMN LEAVES PSYCHIATRY, PLLC
Location Address3670 S 25TH E STE 4Idaho Falls, ID 83404-4956
Mailing Address3670 S 25th E Ste 4Idaho Falls, ID 83404-4956 · (208) 821-0357
Organization SubpartNo
Authorized OfficialMerjurie F RicklefsPsychiatric Nurse Practitioner · (208) 821-0357
Enumeration DateApril 15, 2021
Last NPPES UpdateMay 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
NPI 1396326096 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
3670 S 25TH E STE 4, Idaho Falls, ID 83404

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3670 S 25TH E STE 4
IDAHO FALLS, ID 83404
Nurse Practitioner (Psychiatric/Mental Health)
3670 S 25TH E STE 4
IDAHO FALLS, ID 83404

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 Autumn Leaves Psychiatry, PLLC's NPI number?

The NPI number for Autumn Leaves Psychiatry, PLLC is 1396326096. It was assigned to this organization in the NPPES registry on April 15, 2021.

Where is Autumn Leaves Psychiatry, PLLC located?

Autumn Leaves Psychiatry, PLLC is located at 3670 S 25th E Ste 4, Idaho Falls, ID 83404. The listed phone number is (208) 821-0357.

What is Autumn Leaves Psychiatry, PLLC'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.

What insurance does Autumn Leaves Psychiatry, PLLC accept?

Health plans from University of Utah Health Plans list Autumn Leaves Psychiatry, PLLC 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 Autumn Leaves Psychiatry, PLLC was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.