HEALTHY MIND BEHAVIORAL HEALTH CLINIC LLC
NPI 1710766159
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Boise, ID

Active since September 25, 2023
9492 W FAIRVIEW AVE, BOISE, ID 83704(208) 284-7100(208) 213-3659 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2024, Oct 11, 2023 (2 updates tracked since 2023).

About Healthy Mind Behavioral Health Clinic Llc NPPES

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

HEALTHY MIND BEHAVIORAL HEALTH CLINIC LLC (NPI 1710766159) is a healthcare organization registered as a psychiatric/mental health, child & family in Boise, Idaho and active in the NPI registry since September 2023. The organization lists Christopher Munga Gakwa, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1710766159
Entity TypeOrganization
Primary Taxonomy364SP0810X
Legal Business NameHEALTHY MIND BEHAVIORAL HEALTH CLINIC LLC
Location Address9492 W FAIRVIEW AVEBoise, ID 83704-8101
Mailing Address9492 W Fairview AveBoise, ID 83704-8101 · (208) 284-7100 · Fax (208) 213-3659
Fax(208) 213-3659
Organization SubpartNo
Authorized OfficialChristopher Munga GakwaPmhnp · (208) 284-7100
Enumeration DateSeptember 25, 2023
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1710766159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0810X
9492 W FAIRVIEW AVE, Boise, ID 83704

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthy Mind Behavioral Health Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Healthy Mind Behavioral Health Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1205355831
1276 W RIVER ST STE 100
Boise, ID 83702
(208) 338-4699
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1174319750
3307 CALDWELL BLVD
Nampa, ID 83651
(208) 456-4833
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Healthy Mind Behavioral Health Clinic LLC's NPI number?

The NPI number for Healthy Mind Behavioral Health Clinic LLC is 1710766159. It was assigned to this organization in the NPPES registry on September 25, 2023.

Where is Healthy Mind Behavioral Health Clinic LLC located?

Healthy Mind Behavioral Health Clinic LLC is located at 9492 W Fairview Ave, Boise, ID 83704. The listed phone number is (208) 284-7100.

What is Healthy Mind Behavioral Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Family, with taxonomy code 364SP0810X.

Is Healthy Mind Behavioral Health Clinic LLC enrolled in Medicare?

Yes. Healthy Mind Behavioral Health Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthy Mind Behavioral Health Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Healthy Mind Behavioral Health Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Healthy Mind Behavioral Health Clinic LLC accept?

Health plans from Molina Healthcare list Healthy Mind Behavioral Health Clinic LLC 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 Healthy Mind Behavioral Health Clinic LLC was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.