EVERGREEN WELLNESS, LLC
NPI 1669283545
Community/Behavioral Health in Kellogg, ID

Active since January 18, 2025
123 MCKINLEY AVE, KELLOGG, ID 83837(208) 512-2522 Get Directions Write a Review

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

About Evergreen Wellness, Llc NPPES

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

EVERGREEN WELLNESS, LLC (NPI 1669283545) is a healthcare organization registered as a community/behavioral health in Kellogg, Idaho and active in the NPI registry since January 2025. The organization lists Meghann Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669283545
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEVERGREEN WELLNESS, LLC
Location Address123 MCKINLEY AVEKellogg, ID 83837-2501
Mailing Address123 Mckinley AveKellogg, ID 83837-2501 · (208) 512-2522
Organization SubpartNo
Authorized OfficialMeghann JohnsonCeo · (208) 512-2522
Enumeration DateJanuary 18, 2025
Last NPPES UpdateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
NPI 1669283545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
123 MCKINLEY AVE, Kellogg, ID 83837

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 Evergreen Wellness, LLC's NPI number?

The NPI number for Evergreen Wellness, LLC is 1669283545. It was assigned to this organization in the NPPES registry on January 18, 2025.

Where is Evergreen Wellness, LLC located?

Evergreen Wellness, LLC is located at 123 Mckinley Ave, Kellogg, ID 83837. The listed phone number is (208) 512-2522.

What is Evergreen Wellness, 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 Evergreen Wellness, LLC was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.