Active NPI
New Horizons Mental Wellness Clinics PLLC
- Case Management Registered Nurse
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- NP1034A
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750621116 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Sugar City, ID
- NPI 1841764727
-
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1558656652
-
- Social Worker
- Idaho Falls, ID
- NPI 1982102489
-
- Social Worker
- Idaho Falls, ID
- NPI 1629614987
-
- Clinical Social Worker
- Sugar City, ID
- NPI 1598232209
-
- Professional Counselor
- Idaho Falls, ID
- NPI 1558954446
-
- Clinical Social Worker
- Boise, ID
- NPI 1356989909
-
- Addiction (Substance Use Disorder) Counselor
- Idaho Falls, ID
- NPI 1861844094
-
- Clinical Social Worker
- Rexburg, ID
- NPI 1699331058
-
- Addiction (Substance Use Disorder) Counselor
- Idaho Falls, ID
- NPI 1891928602
-
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1013398064
-
- Mental Health Counselor
- Malad City, ID
- NPI 1285850867
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.