Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Canopy Behavioral Health, PLLC

Organization Mental Health Counselor · NPI 1861962698

Canopy Behavioral Health, PLLC is a Mental Health Counselor in Meridian, Idaho. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

750 W Ustick Rd Ste 120
Meridian, ID 83646-6133
Phone: (208) 273-9521
Fax: (208) 502-2538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 Garden Ctr Ste 252, Broomfield, CO 80020-1735 — (706) 720-7508

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1861962698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Szudera — Owner/Clinical Director · (208) 273-9521
NPI enumeratedDecember 5, 2018
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address773 Dexter Dr, Broomfield, CO 80020-1509

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