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KATHERINE WACHOLZ AGENCY
NPI 1912542648
Community/Behavioral Health in Hayden Lake, ID

Active since November 18, 2019
5723 E DODD RD, HAYDEN LAKE, ID 83835(208) 699-1704 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Katherine Wacholz Agency NPPES

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

KATHERINE WACHOLZ AGENCY (NPI 1912542648) is a healthcare organization registered as a community/behavioral health in Hayden Lake, Idaho and active in the NPI registry since November 2019. The organization lists Katherine Wacholz Wacholz, Independent Provider Professional, as its authorized official.

NPPES Registry Identity

NPI1912542648
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKATHERINE WACHOLZ AGENCY
Location Address5723 E DODD RDHayden Lake, ID 83835-9376
Mailing Address5723 E Dodd RdHayden Lake, ID 83835-9376 · (208) 699-1704
Phone(208) 699-1704
Organization SubpartNo
Authorized OfficialKatherine Wacholz WacholzIndependent Provider Professional · (208) 699-1704
Enumeration DateNovember 18, 2019
✔ NPI 1912542648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
5723 E DODD RD, Hayden Lake, ID 83835
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Other Names 1

Doing Business AsKatherine Wacholz Agency

Other Identifiers 1

Medicaid84-2522234ID

Other Providers at the Same Location NPPES 3

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

K2 FMILY PARTNERSHIP
Behavior Analyst
5723 E DODD RD
HAYDEN LAKE, ID 83835
Kootenai County (208) 699-1704
KATHERINE WACHOLZ
Behavior Analyst
5723 E DODD RD
HAYDEN, ID 83835
Kootenai County (208) 699-1704
STANLEY KEITH WACHOLZ BS BIS
Assistant Behavior Analyst
5723 E DODD RD
HAYDEN LAKE, ID 83835
Kootenai County (208) 651-8985

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 Katherine Wacholz Agency's NPI number?

The NPI number for Katherine Wacholz Agency is 1912542648. It was assigned to this organization in the NPPES registry on November 18, 2019.

Where is Katherine Wacholz Agency located?

Katherine Wacholz Agency is located at 5723 E Dodd Rd, Hayden Lake, ID 83835. The listed phone number is (208) 699-1704.

What is Katherine Wacholz Agency'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 Katherine Wacholz Agency was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.