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

Autumn Nikole Hennessy Kahea, CPSS

Individual provider Peer Specialist · NPI 1124994454

Autumn Nikole Hennessy Kahea, CPSS is a Peer Specialist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

611 Wilson Ave Ste 5
Pocatello, ID 83201-5046
Phone: (208) 915-8448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (ID)

Record details

NPI number1124994454
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPSS
Sole proprietorNo
NPI enumeratedOctober 14, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

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