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: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About EVERGREEN WELLNESS, LLC

This page provides the complete NPI Profile along with additional information for Evergreen Wellness, Llc, a provider established in Kellogg, Idaho operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1669283545 assigned on January 2025. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Meghann Johnson Lcsw (Ceo)

NPI
1669283545 Verify this NPI
Provider Name
EVERGREEN WELLNESS, LLC
Entity Type
Organization
Location Address
123 MCKINLEY AVE KELLOGG, ID 83837
Location Phone
(208) 512-2522
Mailing Address
123 MCKINLEY AVE KELLOGG, ID 83837
Mailing Phone
(208) 512-2522
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2025
Last Update Date
03-23-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MEGHANN JOHNSON LCSW

Authorized Official Title
CEO
Authorized Official Phone
(208) 512-2522

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669283545, enumerated as an "organization" on January 18, 2025.

The provider is located at 123 MCKINLEY AVE KELLOGG, ID 83837 and the phone number is (208) 512-2522.

Community/Behavioral Health with taxonomy code 251S00000X.