HUMAN SUPPORTS OF IDAHO
NPI 1922340124
Psychiatry & Neurology - Psychiatry in Boise, ID

Active since March 26, 2013
4477 W EMERALD ST, STE C-100, BOISE, ID 83706(208) 454-8389(208) 454-8404 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Human Supports Of Idaho NPPES

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

HUMAN SUPPORTS OF IDAHO (NPI 1922340124) is a healthcare organization registered as a psychiatry in Boise, Idaho and active in the NPI registry since March 2013. The organization lists Alita Ruby, Administrateive Services Manager, as its authorized official.

NPPES Registry Identity

NPI1922340124
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameHUMAN SUPPORTS OF IDAHO
Location Address4477 W EMERALD ST, STE C-100Boise, ID 83706-2000
Mailing AddressPo Box 820Caldwell, ID 83606-0820 · (208) 454-8389 · Fax (208) 454-8404
Fax(208) 454-8404
Organization SubpartNo
Authorized OfficialAlita RubyAdministrateive Services Manager · (208) 454-8389
Enumeration DateMarch 26, 2013
Last NPPES UpdateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1922340124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4477 W EMERALD ST, Boise, ID 83706

Other Identifiers 1

Other20002419ID · Medicare Ptan

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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)

Human Supports Of Idaho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Human Supports Of Idaho, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Mental Health Counselor4
Nurse Practitioner3
Clinical Social Worker1
Professional Counselor1
Psychiatry1

Clinicians, nearest first (10)

Clinical Social Worker
NPI 1568156693
4477 W EMERALD ST STE C100
Boise, ID 83706
(208) 321-0160
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265157531
4477 W EMERALD ST STE C100
Boise, ID 83706
(833) 719-0886
✔ PECOS✔ Accepts MedicareSame address
Professional Counselor
NPI 1184873952
2316 N COLE RD
Boise, ID 83704
(208) 342-2950
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1346768330
2321 E GALA ST STE 3
Meridian, ID 83642
(208) 888-5848
✔ PECOS✔ Accepts Medicare6.6 mi
Mental Health Counselor
NPI 1942899919
1711 S MILLENIUM WAY STE 110
Meridian, ID 83642
(208) 724-3996
✔ PECOS✔ Accepts Medicare6.8 mi
Mental Health Counselor
NPI 1720799612
204 10TH AVE S
Nampa, ID 83651
(208) 466-2229
✔ PECOS✔ Accepts Medicare17 mi
Mental Health Counselor
NPI 1194552240
314 BADIOLA ST
Caldwell, ID 83605
(208) 454-8389
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1699643866
269 106TH ST
Orofino, ID 83544
(850) 512-6766
✔ PECOS✔ Accepts Medicare199 mi
Mental Health Counselor
NPI 1588212450
2 5TH ST N STE 201
Great Falls, MT 59401
(406) 781-4414
✔ PECOS✔ Accepts Medicare360 mi
Psychiatry
NPI 1609010156
2034 DE LA VINA ST
Santa Barbara, CA 93105
(805) 681-5450
✔ PECOS✔ Accepts Medicare658 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 Human Supports Of Idaho's NPI number?

The NPI number for Human Supports Of Idaho is 1922340124. It was assigned to this organization in the NPPES registry on March 26, 2013.

Where is Human Supports Of Idaho located?

Human Supports Of Idaho is located at 4477 W Emerald St Ste C-100, Boise, ID 83706. The listed phone number is (208) 454-8389.

What is Human Supports Of Idaho's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Human Supports Of Idaho enrolled in Medicare?

Yes. Human Supports Of Idaho is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Human Supports Of Idaho?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Human Supports Of Idaho. 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 Mental Health Counselor (4), Nurse Practitioner (3) and Clinical Social Worker (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Human Supports Of Idaho accept?

Health plans from Molina Healthcare list Human Supports Of Idaho 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 Human Supports Of Idaho was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.