1. Home
  2. Directory
  3. Idaho
  4. Fort Hall
  5. Counselor
  6. NPI Profile

GARY DALE CONDER ICADC
NPI 1538323225
Counselor - Addiction (Substance Use Disorder) in Fort Hall, ID

Active since July 11, 2008
115 PIMA DRIVE, FORT HALL, ID 83203(208) 238-2400(208) 238-5462 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary Dale Conder Icadc NPPES

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

GARY DALE CONDER ICADC (NPI 1538323225) is an individual addiction (substance use disorder) provider in Fort Hall, Idaho, licensed in Idaho (DA116101G) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1538323225
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGARY DALE CONDERCredential: ICADC
Location Address115 PIMA DRIVEFort Hall, ID 83203-0306
Mailing Address115 Pima DriveFort Hall, ID 83203-0306 · (208) 238-2400 · Fax (208) 238-5462
Phone(208) 238-2400
Fax(208) 238-5462
Sole ProprietorNo
Enumeration DateJuly 11, 2008
✔ NPI 1538323225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ID · DA116101G
115 PIMA DRIVE, Fort Hall, ID 83203
Open in Google Maps ↗

Other Identifiers 1

Medicaid003399100ID

Other Providers at the Same Location NPPES

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

SANDRA ORTIZ ICADC
Counselor (Addiction (Substance Use Disorder))
115 PIMA DRIVE
FORT HALL, ID 83203
Bingham County (208) 238-2400

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 Gary Conder's NPI number?

The NPI number for Gary Conder is 1538323225. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Gary Conder located?

Gary Conder practices at 115 Pima Drive, Fort Hall, ID 83203. The listed phone number is (208) 238-2400.

What is Gary Conder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gary Conder was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.