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

Dynovion Cognitive Wellness, LLC

Organization Mental Health Counselor · NPI 1619760501

Dynovion Cognitive Wellness, LLC is a Mental Health Counselor in Boise, Idaho. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

12550 W Explorer Dr
Boise, ID 83713-1826
Phone: (986) 230-2245
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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
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1619760501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Hoekstra — Ceo · (208) 964-7189
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 13, 2025
Mailing address14233 Silver Ridge Rd, Caldwell, ID 83607-5448

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