Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blackfoot Medical Clinic Mental Health

Organization Professional Counselor · NPI 1265635205

Blackfoot Medical Clinic Mental Health provides Professional Counselor services in Blackfoot, Idaho. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1441 Parkway Dr
Blackfoot, ID 83221-1667
Phone: (208) 785-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1265635205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Betty Miller — Business Office Manager · (208) 785-2600
NPI enumeratedJune 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1441 Parkway Dr, Blackfoot, ID 83221-1667

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