Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEBBLES P KELLUM PSS
NPI 1487405452
Peer Specialist in Boise, ID

Q: What is Pebbles Kellum's NPI number?

The NPI number for Pebbles Kellum is 1487405452. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Q: What is Pebbles Kellum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pebbles Kellum was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 28, 2024

8050 W RIFLEMAN ST STE 200, BOISE, ID 83704(877) 522-1275(509) 491-3031 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Pebbles P Kellum Pss NPPES

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

PEBBLES P KELLUM PSS (NPI 1487405452) is an individual peer specialist in Boise, Idaho and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1487405452

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NamePEBBLES P KELLUMCredential: PSS

Location Address8050 W RIFLEMAN ST STE 200Boise, ID 83704-9006

Mailing Address4959 W Albion St Apt 303Boise, ID 83705-1286 · (877) 522-1275 · Fax (509) 491-3031

Phone(877) 522-1275

Fax(509) 491-3031

Sole ProprietorNo

Enumeration DateMarch 28, 2024

Last NPPES UpdateAugust 18, 2026

NPPES CertifiedAugust 18, 2026

✔ NPI 1487405452 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.

8050 W RIFLEMAN ST STE 200, Boise, ID 83704

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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 Pebbles Kellum's NPI number?

The NPI number for Pebbles Kellum is 1487405452. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Pebbles Kellum located?

Pebbles Kellum practices at 8050 W Rifleman St Ste 200, Boise, ID 83704. The listed phone number is (877) 522-1275.

What is Pebbles Kellum'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 Pebbles Kellum was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.