MRS. AMY RAE WANSTROM LPC
NPI 1639870462
Counselor - Professional in Pocatello, ID

Q: What is Amy Wanstrom's NPI number?

The NPI number for Amy Wanstrom is 1639870462. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Q: What is Amy Wanstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Amy Wanstrom was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 17, 2023

1800 GARRETT WAY STE 47, POCATELLO, ID 83201(208) 252-6464 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Amy Rae Wanstrom Lpc NPPES

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

MRS. AMY RAE WANSTROM LPC (NPI 1639870462) is an individual professional provider in Pocatello, Idaho, licensed in Idaho (LPC-9391) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1639870462

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. AMY RAE WANSTROMCredential: LPC

Location Address1800 GARRETT WAY STE 47Pocatello, ID 83201-5132

Mailing Address358 N 200 WBlackfoot, ID 83221-5703 · (208) 604-0753

Phone(208) 252-6464

Sole ProprietorYes

Enumeration DateMarch 17, 2023

NPPES CertifiedMarch 17, 2023

✔ NPI 1639870462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ID · LPC-9391

1800 GARRETT WAY STE 47, Pocatello, ID 83201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 2

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

ASHLYN ALEXIS WILLARD

Social Worker (Clinical)

1800 GARRETT WAY STE 47
POCATELLO, ID 83201

Bannock County (208) 595-6732

FREEDOM RECOVERY LLC

Substance Abuse Rehabilitation Facility

1800 GARRETT WAY STE 47
POCATELLO, ID 83201

Bannock County (208) 252-6464

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 Amy Wanstrom's NPI number?

The NPI number for Amy Wanstrom is 1639870462. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Amy Wanstrom located?

Amy Wanstrom practices at 1800 Garrett Way Ste 47, Pocatello, ID 83201. The listed phone number is (208) 252-6464.

What is Amy Wanstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Amy Wanstrom accept?

Health plans from Providence Health Plan and University of Utah Health Plans list Amy Wanstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Wanstrom was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.