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BERUK WELDERUFAEL TESFAMARIAM SR.
NPI 1699644054
Peer Specialist in Boise, ID

Active since November 04, 2025
2915 N COLE RD STE 102, BOISE, ID 83704(208) 747-5333 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beruk Welderufael Tesfamariam Sr. NPPES

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

BERUK WELDERUFAEL TESFAMARIAM SR. (NPI 1699644054) is an individual peer specialist in Boise, Idaho and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1699644054
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBERUK WELDERUFAEL TESFAMARIAM SR.
Location Address2915 N COLE RD STE 102Boise, ID 83704-5917
Mailing Address2915 N Cole Rd Ste 102Boise, ID 83704-5917 · (208) 747-5333
Phone(208) 747-5333
Sole ProprietorNo
Enumeration DateNovember 4, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1699644054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2915 N COLE RD STE 102, Boise, ID 83704
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Other Providers at the Same Location NPPES 5

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

UMURERWA DUSABE
Peer Specialist
2915 N COLE RD STE 102
BOISE, ID 83704
Ada County (208) 747-5333
MS. REHEMA MAZAMBI JR.
Peer Specialist
2915 N COLE RD STE 102
BOISE, ID 83704
Ada County (208) 747-5333
RODRIGUE SHYAKA
Peer Specialist
2915 N COLE RD STE 102
BOISE, ID 83704
Ada County (208) 747-5333
DANIEL NGIRABAKUNZI
Peer Specialist
2915 N COLE RD STE 102
BOISE, ID 83704
Ada County (208) 747-5333
KRISTI NELSON MA
Case Manager/Care Coordinator
2915 N COLE RD STE 102
BOISE, ID 83704
Ada County (208) 747-5333

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 Beruk Tesfamariam's NPI number?

The NPI number for Beruk Tesfamariam is 1699644054. It was assigned to this individual provider in the NPPES registry on November 4, 2025.

Where is Beruk Tesfamariam located?

Beruk Tesfamariam practices at 2915 N Cole Rd Ste 102, Boise, ID 83704. The listed phone number is (208) 747-5333.

What is Beruk Tesfamariam's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Beruk Tesfamariam was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.