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

Pacific Mental Health Idaho LLC

Organization Mental Health Counselor · NPI 1710667142

Pacific Mental Health Idaho LLC is a Mental Health Counselor 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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