NPIMap

Organization Active NPI

Priestley Mental Health Inc

  • Social Worker
  • Preston, ID
National Provider Identifier
1073660320
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26656 Issued in ID
Legal business name
PRIESTLEY MENTAL HEALTH INC
Practice address
75 S 1St W
Preston, ID 83263-1259
Phone
(208) 852-2370
Fax
(208) 852-5570
NPI assigned
Jan 5, 2007
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Ronald Priestley, LCSWNPI 1265865554
Title
Owner/Director
Phone
(208) 852-2370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26656 ID Primary

Addresses

Primary practice location

75 S 1St W
Preston, ID 83263-1259

Mailing address

PO Box 54
Franklin, ID 83237-0054
Phone (208) 852-2370

Other identifiers 1

IdentifierTypeStateIssuer
806081800MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151110001591 ID Part B Supplier - Clinic/Group Practice 5092025726 Receives reassigned benefits from 1 practitioner
Practice locations: Preston, ID

National Provider Directory

National Provider Directory

Locations

75 S 1st W
Preston, ID 83263
Phone (208) 339-0227

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1073660320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "FRANKLIN",
            "state": "ID",
            "postal_code": "832370054",
            "telephone_number": "208-852-2370",
            "fax_number": "208-852-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S 1ST W",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631259",
            "telephone_number": "208-852-2370",
            "fax_number": "208-852-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIESTLEY MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "PRIESTLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "208-852-2370",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "26656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806081800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Preston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.