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STELLAR MENTAL HEALTH & MEDIATION, LLC
NPI 1902225436
Clinic/Center - Mental Health (Including Community Mental Health Center) in Nampa, ID

Active since April 14, 2014
923 16TH AVE S, NAMPA, ID 83651(208) 639-1514(208) 639-2301 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2023, Nov 14, 2022 (2 updates tracked since 2022).

About Stellar Mental Health & Mediation, Llc NPPES

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

STELLAR MENTAL HEALTH & MEDIATION, LLC (NPI 1902225436) is a healthcare organization registered as a mental health (including community mental health center) in Nampa, Idaho and active in the NPI registry since April 2014. The organization maintains a secondary practice location in Nampa and lists Jeffrey Ryan Moreno, Owner/program Manager, as its authorized official.

NPPES Registry Identity

NPI1902225436
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSTELLAR MENTAL HEALTH & MEDIATION, LLC
Location Address923 16TH AVE SNampa, ID 83651-4731
Mailing Address923 16th Ave SNampa, ID 83651-4731 · (208) 639-1514 · Fax (208) 639-2301
Phone(208) 639-1514
Fax(208) 639-2301
Organization SubpartNo
Authorized OfficialJeffrey Ryan MorenoOwner/program Manager · (208) 639-1514
Enumeration DateApril 14, 2014
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1902225436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
923 16TH AVE S, Nampa, ID 83651
Open in Google Maps ↗

Secondary Practice Location 1

Location 13904 E Flamingo AveNampa, ID 83687-3102 · Phone (208) 570-8894

Accepted Insurance

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

Stellar Mental Health & Mediation, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Stellar Mental Health & Mediation, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Jeffrey Moreno, L.C.S.W.
Clinical Social Worker
NPI 1083983514
923 16TH AVE S
Nampa, ID 83651
(208) 639-1514
✔ PECOSSame address
Jynnah Snow, FNP
Nurse Practitioner
NPI 1437622776
1047 S WELLS ST STE 111
Meridian, ID 83642
(208) 398-3351
✔ PECOS10 mi
Michelle Chin, ARNP
Nurse Practitioner
NPI 1649645938
6933 W EMERALD ST
Boise, ID 83704
(208) 321-0634
✔ PECOS✔ Accepts Medicare15 mi
Jenny Pinson, APRN
Nurse Practitioner
NPI 1407102056
4553 E TIMBERSAW DR
Boise, ID 83716
(601) 880-9571
✔ PECOS22 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 Stellar Mental Health & Mediation, LLC's NPI number?

The NPI number for Stellar Mental Health & Mediation, LLC is 1902225436. It was assigned to this organization in the NPPES registry on April 14, 2014.

Where is Stellar Mental Health & Mediation, LLC located?

Stellar Mental Health & Mediation, LLC is located at 923 16th Ave S, Nampa, ID 83651. The listed phone number is (208) 639-1514.

What is Stellar Mental Health & Mediation, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Stellar Mental Health & Mediation, LLC enrolled in Medicare?

Yes. Stellar Mental Health & Mediation, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stellar Mental Health & Mediation, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Stellar Mental Health & Mediation, 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. The largest specialties are Nurse Practitioner (3) and Clinical Social Worker (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Stellar Mental Health & Mediation, LLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Stellar Mental Health & Mediation, 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 Stellar Mental Health & Mediation, 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.