CANOPY BEHAVIORAL HEALTH, PLLC
NPI 1861962698
Counselor - Professional in Meridian, ID

Q: What is Canopy Behavioral Health, PLLC's NPI number?

The NPI number for Canopy Behavioral Health, PLLC is 1861962698. It was assigned to this organization in the NPPES registry on December 5, 2018.

Q: What is Canopy Behavioral Health, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since December 05, 2018

750 W USTICK RD STE 120, MERIDIAN, ID 83646(208) 273-9521(208) 502-2538 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, Jan 27, 2023, Oct 9, 2022 and 4 more (7 updates tracked since 2018).

On this page

About Canopy Behavioral Health, Pllc NPPES

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

CANOPY BEHAVIORAL HEALTH, PLLC (NPI 1861962698) is a healthcare organization registered as a professional in Meridian, Idaho and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Broomfield and lists John William Szudera, Owner/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1861962698

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameCANOPY BEHAVIORAL HEALTH, PLLC

Location Address750 W USTICK RD STE 120Meridian, ID 83646-6133

Mailing Address773 Dexter DrBroomfield, CO 80020-1509 · (208) 273-9521

Phone(208) 273-9521

Fax(208) 502-2538

Organization SubpartNo

Authorized OfficialJohn William SzuderaOwner/clinical Director · (208) 273-9521

Enumeration DateDecember 5, 2018

Last NPPES UpdateSeptember 26, 20247 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1861962698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

750 W USTICK RD STE 120, Meridian, ID 83646

Open in Google Maps ↗

Secondary Practice Location 1

Location 180 Garden Ctr Ste 252Broomfield, CO 80020-1735 · Phone (706) 720-7508 · Fax (208) 502-2538

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 14

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

SHELBY MARTINI LPC, NCC

Counselor (Mental Health)