PACIFIC MENTAL HEALTH IDAHO LLC
NPI 1710667142
Counselor - Mental Health in Caldwell, ID

Q: What is Pacific Mental Health Idaho LLC's NPI number?

The NPI number for Pacific Mental Health Idaho LLC is 1710667142. It was assigned to this organization in the NPPES registry on July 20, 2023.

Q: What is Pacific Mental Health Idaho LLC's specialty?

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

Active since July 20, 2023

1617 CLEVELAND BLVD, CALDWELL, ID 83605(425) 582-2041(425) 527-0468 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Pacific Mental Health Idaho Llc NPPES

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

PACIFIC MENTAL HEALTH IDAHO LLC (NPI 1710667142) is a healthcare organization registered as a mental health in Caldwell, Idaho and active in the NPI registry since July 2023. The organization lists Jessy Hoag, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1710667142

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NamePACIFIC MENTAL HEALTH IDAHO LLC

Location Address1617 CLEVELAND BLVDCaldwell, ID 83605-5029

Mailing Address5108 196th St Sw Ste 350, C/o Rxdx Medical Billing Services Llc, Ste 310Lynnwood, WA 98036-6169 · (425) 361-2273

Phone(425) 582-2041

Fax(425) 527-0468

Organization SubpartNo

Authorized OfficialJessy HoagCredentialing Specialist · (425) 361-2273

Enumeration DateJuly 20, 2023

NPPES CertifiedJuly 20, 2023

✔ NPI 1710667142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1617 CLEVELAND BLVD, Caldwell, ID 83605

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Pacific Mental Health Idaho LLC's NPI number?

The NPI number for Pacific Mental Health Idaho LLC is 1710667142. It was assigned to this organization in the NPPES registry on July 20, 2023.

Where is Pacific Mental Health Idaho LLC located?

Pacific Mental Health Idaho LLC is located at 1617 Cleveland Blvd, Caldwell, ID 83605. The listed phone number is (425) 582-2041.

What is Pacific Mental Health Idaho 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 Pacific Mental Health Idaho LLC was last updated on July 20, 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.