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COTTONWOOD CREEK WELLNESS CENTER - LOST RIVER
NPI 1619534609
Community/Behavioral Health in Boise, ID

Active since May 24, 2019
1919 W STATE ST, BOISE, ID 83702(208) 813-6246 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cottonwood Creek Wellness Center - Lost River NPPES

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

COTTONWOOD CREEK WELLNESS CENTER - LOST RIVER (NPI 1619534609) is a healthcare organization registered as a community/behavioral health in Boise, Idaho and active in the NPI registry since May 2019. The organization lists Janie Pickle, Vp, Controller, as its authorized official.

NPPES Registry Identity

NPI1619534609
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameHAVEN BEHAVIORAL OUTPATIENT SERVICES OF BOISE, LLC
Location Address1919 W STATE STBoise, ID 83702-3958
Mailing Address3102 W End Ave Ste 1000Nashville, TN 37203-1324 · (615) 393-8800
Phone(208) 813-6246
Organization SubpartNo
Authorized OfficialJanie PickleVp, Controller · (615) 393-8809
Enumeration DateMay 24, 2019
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1619534609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
1919 W STATE ST, Boise, ID 83702
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Other Names 1

Doing Business AsCottonwood Creek Wellness Center - Lost River

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

Other Providers at the Same Location NPPES 4

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

SALVADOR CARDENAS PADILLA LCSW
Social Worker (Clinical)
1919 W STATE ST
BOISE, ID 83702
Ada County (208) 429-3854
JENIKA DAVIS LPC
Counselor (Professional)
1919 W STATE ST
BOISE, ID 83702
Ada County (208) 813-6246
IDAHO TMS
Nurse Practitioner (Psychiatric/Mental Health)
1919 W STATE ST
BOISE, ID 83702
Ada County (208) 813-6246
MS. CHRISTINA ANN WALKER LMSW
Social Worker
1919 W STATE ST
BOISE, ID 83702
Ada County (208) 813-6246

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 Haven Behavioral Outpatient Services Of Boise, LLC's NPI number?

The NPI number for Haven Behavioral Outpatient Services Of Boise, LLC is 1619534609. It was assigned to this organization in the NPPES registry on May 24, 2019. The provider is doing business as Cottonwood Creek Wellness Center - Lost River.

Where is Haven Behavioral Outpatient Services Of Boise, LLC located?

Haven Behavioral Outpatient Services Of Boise, LLC is located at 1919 W State St, Boise, ID 83702. The listed phone number is (208) 813-6246.

What is Haven Behavioral Outpatient Services Of Boise, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Haven Behavioral Outpatient Services Of Boise, LLC was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.