Individual provider Active NPI

Dave Miner, LPC

  • Professional Counselor
  • Pocatello, ID
National Provider Identifier
1215600291
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8321086 Issued in ID
Practice address
1250 E Oak St
Pocatello, ID 83201-3940
Phone
(208) 425-2489
NPI assigned
Jul 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-3394 ID
Professional Counselor 101YP2500X 8321086 ID Primary

Addresses

Primary practice location

1250 E Oak St
Pocatello, ID 83201-3940

Mailing address

500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862

Other practice location 1

1001 N 7th Ave Ste 135
Pocatello, ID 83201-5786
Phone (208) 425-2489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251017002503 ID Practitioner - Mental Health Counselor 1658868013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 S 11TH Ave
Suite 400
Pocatello, ID 83201-4880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8321086IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health West, Inc. Current Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. CurrentSince Oct 2, 2025 Accepting new patients
Health West, Inc. CurrentSince Oct 2, 2025 Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

152 S 4th St
Montpelier, ID 83254
Phone (208) 847-2108

666 Cheyenne Ave
Pocatello, ID 83204

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

1455 Gwen Dr
Pocatello, ID 83204

880 W Quinn Rd
Pocatello, ID 83202
Phone (208) 238-2000

911 N Grant Ave
Pocatello, ID 83204
Phone (208) 425-2489

427 Lark Ln
Pocatello, ID 83201

500 S 11th Ave
Ste 400
Pocatello, ID 83201

325 N Arthur Ave
Pocatello, ID 83204

1250 E Oak St
Pocatello, ID 83201
Phone (208) 425-2489

1000 N 8th Ave
Pocatello, ID 83201
Phone (208) 232-6260

1001 N 7th Ave
Ste 135
Pocatello, ID 83201
Phone (208) 234-2489

500 S 11th Ave
Ste 204
Pocatello, ID 83201
Phone (208) 232-1443

7801 W Diamond Back Dr
Pocatello, ID 83204

800 Grace Dr
Pocatello, ID 83201

957 E Alameda Rd
Pocatello, ID 83201

955 W Alameda Rd
Pocatello, ID 83201
Phone (208) 237-2233

1025 W Eldredge Rd
Pocatello, ID 83201
Phone (208) 425-2489

655 S 4th E
Ste 600
Preston, ID 83263
Phone 20823278621122

Interoperability endpoints

  • Direct secure messaging: dave.miner.1@16258.direct.athenahealth.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1215600291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E OAK ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013940",
            "telephone_number": "208-425-2489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N 7th Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832015786",
            "country_code": "US",
            "telephone_number": "208-425-2489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINER",
        "first_name": "DAVE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-3394",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "8321086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.