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DYNOVION COGNITIVE WELLNESS, LLC
NPI 1619760501
Counselor - Mental Health in Boise, ID

Active since May 23, 2025
12550 W EXPLORER DR, BOISE, ID 83713(986) 230-2245 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dynovion Cognitive Wellness, Llc NPPES

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

DYNOVION COGNITIVE WELLNESS, LLC (NPI 1619760501) is a healthcare organization registered as a mental health in Boise, Idaho and active in the NPI registry since May 2025. The organization lists Timothy J Hoekstra, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619760501
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDYNOVION COGNITIVE WELLNESS, LLC
Location Address12550 W EXPLORER DRBoise, ID 83713-1826
Mailing Address14233 Silver Ridge RdCaldwell, ID 83607-5448 · (208) 964-7189
Phone(986) 230-2245
Organization SubpartNo
Authorized OfficialTimothy J HoekstraCeo · (208) 964-7189
Enumeration DateMay 23, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1619760501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
12550 W EXPLORER DR, Boise, ID 83713
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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

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 Dynovion Cognitive Wellness, LLC's NPI number?

The NPI number for Dynovion Cognitive Wellness, LLC is 1619760501. It was assigned to this organization in the NPPES registry on May 23, 2025.

Where is Dynovion Cognitive Wellness, LLC located?

Dynovion Cognitive Wellness, LLC is located at 12550 W Explorer Dr, Boise, ID 83713. The listed phone number is (986) 230-2245.

What is Dynovion Cognitive Wellness, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dynovion Cognitive Wellness, LLC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.