IDAHO STATE UNIVERSITY
NPI 1811595929
Counselor - Mental Health in Pocatello, ID

Q: What is Idaho State University's NPI number?

The NPI number for Idaho State University is 1811595929. It was assigned to this organization in the NPPES registry on October 12, 2020. The provider is doing business as ISU Pocatello Counseling Clinic.

Q: What is Idaho State University's specialty?

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

Active since October 12, 2020

1400 E TERRY DR BLDG 63, POCATELLO, ID 83209(208) 240-1690 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Idaho State University NPPES

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

IDAHO STATE UNIVERSITY (NPI 1811595929), doing business as Isu Pocatello Counseling Clinic, is a healthcare organization registered as a mental health in Pocatello, Idaho and active in the NPI registry since October 2020. The organization lists Cynthia Lee Rock, Clinics Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1811595929

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameIDAHO STATE UNIVERSITY

Location Address1400 E TERRY DR BLDG 63Pocatello, ID 83209-0001

Mailing Address921 S 8th Ave Stop 8120Pocatello, ID 83209-0002 · (208) 240-1609

Phone(208) 240-1690

Organization SubpartYes

Authorized OfficialCynthia Lee RockClinics Director Of Operations · (208) 373-1743

Enumeration DateOctober 12, 2020

NPPES CertifiedOctober 12, 2020

✔ NPI 1811595929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1400 E TERRY DR BLDG 63, Pocatello, ID 83209

Open in Google Maps ↗

Other Names 1

Doing Business AsIsu Pocatello Counseling Clinic

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

Other Providers at the Same Location NPPES

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

DR. DEVIN JAMES BEAN PT, DPT

Physical Therapist (Pediatrics)

1400 E TERRY DR BLDG 63
POCATELLO, ID 83209

Bannock County (208) 282-2590

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 Idaho State University's NPI number?

The NPI number for Idaho State University is 1811595929. It was assigned to this organization in the NPPES registry on October 12, 2020. The provider is doing business as ISU Pocatello Counseling Clinic.

Where is Idaho State University located?

Idaho State University is located at 1400 E Terry Dr Bldg 63, Pocatello, ID 83209. The listed phone number is (208) 240-1690.

What is Idaho State University'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 Idaho State University was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.