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

Pacific Mental Health Idaho LLC

Organization Mental Health Counselor · NPI 1710667142

Pacific Mental Health Idaho LLC provides Mental Health Counselor services in Caldwell, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1617 Cleveland Blvd
Caldwell, ID 83605-5029
Phone: (425) 582-2041
Fax: (425) 527-0468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1710667142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessy Hoag — Credentialing Specialist · (425) 361-2273
NPI enumeratedJuly 20, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address5108 196th St Sw Ste 350, C/O Rxdx Medical Billing Services Llc, Ste 310, Lynnwood, WA 98036-6169

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