Organization Active NPI

New Horizons Mental Wellness Clinics PLLC

  • Case Management Registered Nurse
  • Pocatello, ID
National Provider Identifier
1285029496
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
NP1034A Issued in ID
Legal business name
NEW HORIZONS MENTAL WELLNESS CLINICS PLLC
Practice address
1352 E Center St
Suite a
Pocatello, ID 83201-4734
Phone
(208) 233-2025
Fax
(208) 233-2178
NPI assigned
Apr 3, 2015
Last updated
Apr 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Darrin Robertson, PMHNP-BC
Title
Owner
Phone
(208) 233-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X NP1034A ID Primary

Addresses

Primary practice location

1352 E Center St
Suite a
Pocatello, ID 83201-4734

Mailing address

1352 E Center St
Suite a
Pocatello, ID 83201-4734
Phone (208) 233-2025

Other identifiers 1

IdentifierTypeStateIssuer
1750621116MedicaidID

National Provider Directory

National Provider Directory

Locations

2311 Park Ave
Ste 2
Burley, ID 83318
Phone (208) 677-2489

2311 Park Ave
Ste 6
Burley, ID 83318
Phone (208) 878-6413

610 Clinic Rd
Challis, ID 83226

440 New Day Pkwy
Chubbuck, ID 83202

4875 Burley Dr
Chubbuck, ID 83202

163 E Elva St
Idaho Falls, ID 83402
Phone (208) 932-4493

211 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 529-5548

482 Constitution Way
Ste 110
Idaho Falls, ID 83402
Phone (208) 552-0399

855 N Capital Ave
Ste 2
Idaho Falls, ID 83402
Phone (208) 552-0855

20 N Main St
Ste 6
Malad City, ID 83252
Phone (208) 233-9136

1071 Renee Ave
Pocatello, ID 83201
Phone (208) 233-1411

1256 Wright Ave
Pocatello, ID 83202

1525 E Cedar St
Pocatello, ID 83201

2805 S Grant Ave
Pocatello, ID 83204
Phone (208) 232-1091

3480 E Center St
Pocatello, ID 83201

3625 Vaughn Ave
Pocatello, ID 83204
Phone (208) 233-0016

6150 S 5th Ave
Pocatello, ID 83204
Phone (208) 233-4033

237 N 2nd E
Ste 102
Rexburg, ID 83440

115 N Clark St
Rigby, ID 83442
Phone (208) 359-4293

104 N Bridge St
Ste 121
Saint Anthony, ID 83445
Phone (208) 624-2006

610 N Bridge St
Saint Anthony, ID 83445
Phone (208) 380-4978

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1285029496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 E CENTER ST",
            "address_2": "SUITE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014734",
            "telephone_number": "208-233-2025",
            "fax_number": "208-233-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 E CENTER ST",
            "address_2": "SUITE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014734",
            "telephone_number": "208-233-2025",
            "fax_number": "208-233-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS MENTAL WELLNESS CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-233-2025",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "ID",
            "license": "NP1034A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750621116",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.