PEARL HEALTH CLINIC
NPI 1447426465
Counselor - Mental Health in Ammon, ID

Active since April 30, 2008CLIA Certified · 3 labs
2705 E 17TH ST, AMMON, ID 83406(208) 346-7500(208) 346-7501 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2025, May 12, 2025, Jul 26, 2024 and 3 more (6 updates tracked since 2020).

About Pearl Health Clinic NPPES

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

PEARL HEALTH CLINIC (NPI 1447426465) is a healthcare organization registered as a mental health in Ammon, Idaho and active in the NPI registry since April 2008. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Zakery Warren, Owner, as its authorized official.

NPPES Registry Identity

NPI1447426465
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePEARL HEALTH CLINIC
Location Address2705 E 17TH STAmmon, ID 83406-6601
Mailing Address2705 E 17th StAmmon, ID 83406-6669 · (208) 346-7500 · Fax (208) 346-7501
Fax(208) 346-7501
Organization SubpartNo
Authorized OfficialZakery WarrenOwner · (208) 346-7500
Enumeration DateApril 30, 2008
Last NPPES UpdateSeptember 22, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
NPI 1447426465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2705 E 17TH ST, Ammon, ID 83406

Secondary Practice Locations 3

Location 1264 E Main StRexburg, ID 83440-2021 · Phone (208) 346-7500
Location 2500 S 11th Ave Ste 203Pocatello, ID 83201-4878 · Phone (208) 346-7500 · Fax (208) 346-7501
Location 3502 S Woodruff AveIdaho Falls, ID 83401-5298 · Phone (208) 346-7500

Other Identifiers 1

Medicaid1447426465ID

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

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 13D2233669

Pearl Health Clinic · Rexburg, ID
Active · expires Aug 24, 2027
CLIA Number13D2233669
Laboratory TypeOutpatient Mental Health
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorRosemary Brown
Laboratory Phone(208) 346-7500
Laboratory LocationPearl Health Clinic264 E Main St, Rexburg, ID 83440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2278236

Pearl Health Clinic · Pocatello, ID
Active · expires Mar 13, 2027
CLIA Number13D2278236
Laboratory TypeOutpt Mental Health
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorStephen Denagy
Laboratory Phone(208) 346-7500
Laboratory LocationPearl Health Clinic500 S 11th Ave Ste 203, Pocatello, ID 83201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2020492

Pearl Health Clinic · Ammon, ID
Active · expires Feb 21, 2027
CLIA Number13D2020492
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorStephen Denagy
Laboratory Phone(208) 346-7500
Laboratory LocationPearl Health Clinic2705 E 17th St, Ammon, ID 83406
CLIA data matches this NPI record on: Address Name Phone
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.

Nurse Practitioner (Psychiatric/Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Peer Specialist
2705 E 17TH ST
AMMON, ID 83406
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406
Counselor (Mental Health)
2705 E 17TH ST
AMMON, ID 83406
Counselor (Professional)
2705 E 17TH ST
AMMON, ID 83406
Social Worker
2705 E 17TH ST
AMMON, ID 83406

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 Pearl Health Clinic's NPI number?

The NPI number for Pearl Health Clinic is 1447426465. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Pearl Health Clinic located?

Pearl Health Clinic is located at 2705 E 17th St, Ammon, ID 83406. The listed phone number is (208) 346-7500.

What is Pearl Health Clinic's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Pearl Health Clinic hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pearl Health Clinic accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and University of Utah Health Plans list Pearl Health Clinic 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 Pearl Health Clinic was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.