1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Community Behavioral Health
  6. NPI Profile

STATE OF IDAHO
NPI 1790131027
Community/Behavioral Health in Boise, ID

Active since May 05, 2016
1720 N WESTGATE DR, BOISE, ID 83704(208) 334-0824 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About State Of Idaho NPPES

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

STATE OF IDAHO (NPI 1790131027) is a healthcare organization registered as a community/behavioral health in Boise, Idaho and active in the NPI registry since May 2016. The organization lists Wayne Nubile, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1790131027
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSTATE OF IDAHO
Location Address1720 N WESTGATE DRBoise, ID 83704-7164
Mailing Address2322 W State StBoise, ID 83702-3161 · (208) 334-0824
Phone(208) 334-0824
Organization SubpartNo
Authorized OfficialWayne NubileClinical Supervisor · (208) 334-0824
Enumeration DateMay 5, 2016
✔ NPI 1790131027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in ID · LCPC-5579
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.
1720 N WESTGATE DR, Boise, ID 83704
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MRS. AMY NIBLOCK BALZER LCSW
Social Worker (Clinical)
1720 N WESTGATE DR, SUITE A-1
BOISE, ID 83704
Ada County (208) 334-0874
JESSICA ANDERSON RN
Registered Nurse (Psychiatric/Mental Health)
1720 N WESTGATE DR
BOISE, ID 83704
Ada County (208) 334-0800
NICOLE FISHER
Social Worker (Clinical)
1720 N WESTGATE DR, SUITE A
BOISE, ID 83704
Ada County (208) 334-0841
MRS. MELISSA ANN HOWARD L.M.S.W
Social Worker
1720 N WESTGATE DR, SUITE A1
BOISE, ID 83704
Ada County (208) 334-0884
JAMES J DRAKE LPC
Counselor
1720 N WESTGATE DR
BOISE, ID 83704
Ada County (208) 501-3896
AMY PALMER
Developmental Therapist
1720 N WESTGATE DR
BOISE, ID 83704
Ada County (208) 334-0900
CHARLENE DAVIS
Developmental Therapist
1720 N WESTGATE DR, SUITE D
BOISE, ID 83704
Ada County (208) 334-0900
AMY CHAMP OTR/L
Occupational Therapist (Pediatrics)
1720 N WESTGATE DR
BOISE, ID 83704
Ada County (208) 334-0900

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 State Of Idaho's NPI number?

The NPI number for State Of Idaho is 1790131027. It was assigned to this organization in the NPPES registry on May 5, 2016.

Where is State Of Idaho located?

State Of Idaho is located at 1720 N Westgate Dr, Boise, ID 83704. The listed phone number is (208) 334-0824.

What is State Of Idaho'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 State Of Idaho was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.