IDAHO TRAUMA THERAPY LLC
NPI 1477049492
Clinic/Center - Mental Health (Including Community Mental Health Center) in Boise, ID

Active since July 02, 2018
6126 W STATE ST STE 109, BOISE, ID 83703(208) 391-2957 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Trauma Therapy Llc NPPES

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

IDAHO TRAUMA THERAPY LLC (NPI 1477049492) is a healthcare organization registered as a mental health (including community mental health center) in Boise, Idaho and active in the NPI registry since July 2018. The organization lists Hillary Dawn Cook, Owner, as its authorized official.

NPPES Registry Identity

NPI1477049492
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIDAHO TRAUMA THERAPY LLC
Location Address6126 W STATE ST STE 109Boise, ID 83703-2741
Mailing Address6126 W State St Ste 109Boise, ID 83703-2741 · (208) 391-2957
Organization SubpartNo
Authorized OfficialHillary Dawn CookOwner · (208) 391-2957
Enumeration DateJuly 2, 2018
NPI 1477049492 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
License Licensed in ID · LPC-6772
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License LPC-6772 (ID)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License LPC-6772 (ID)
6126 W STATE ST STE 109, Boise, ID 83703

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
6126 W STATE ST STE 109
BOISE, ID 83703
Social Worker (Clinical)
6126 W STATE ST STE 109
BOISE, ID 83703
Marriage & Family Therapist
6126 W STATE ST STE 109
BOISE, ID 83703

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 Trauma Therapy LLC's NPI number?

The NPI number for Idaho Trauma Therapy LLC is 1477049492. It was assigned to this organization in the NPPES registry on July 2, 2018.

Where is Idaho Trauma Therapy LLC located?

Idaho Trauma Therapy LLC is located at 6126 W State St Ste 109, Boise, ID 83703. The listed phone number is (208) 391-2957.

What is Idaho Trauma Therapy LLC'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 Trauma Therapy LLC was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.