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

Tara Rayvonti, CPSSBSFPSS

Individual provider Peer Specialist · NPI 1124872072

Tara Rayvonti, CPSSBSFPSS is a Peer Specialist in Paul, Idaho. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 754
Paul, ID 83347-0754
Phone: (208) 878-8887
Fax: (208) 878-6888
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1124872072
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPSSBSFPSS
Sole proprietorYes
NPI enumeratedApril 16, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing addressPo Box 754, Paul, ID 83347-0754