Active NPI
Pearl Health Clinic
- Mental Health Counselor
- Ammon, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PEARL HEALTH CLINIC
- Practice address
- 2705 E 17TH St
Ammon, ID 83406-6601 - Phone
- (208) 346-7500
- Fax
- (208) 346-7501
- NPI assigned
- Apr 30, 2008
- 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
- Zakery Warren
- Title
- Owner
- Phone
- (208) 346-7500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2705 E 17TH St
Ammon, ID 83406-6601
Mailing address
2705 E 17TH St
Ammon, ID 83406-6669
Phone (208) 346-7500
Other practice location 1
264 E Main St
Rexburg, ID 83440-2021
Phone (208) 346-7500
Other practice location 2
500 S 11th Ave Ste 203
Pocatello, ID 83201-4878
Phone (208) 346-7500
Other practice location 3
502 S Woodruff Ave
Idaho Falls, ID 83401-5298
Phone (208) 346-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447426465 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, CA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2233669 | Pearl Health Clinic | Certificate of waiver | Aug 24, 2027 |
| 13D2278236 | Pearl Health Clinic | Certificate of waiver | Mar 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
2705 E 17th St
Ammon, ID 83406
566 S Woodruff Ave
Idaho Falls, ID 83401
502 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 348-7500
725 S Woodruff Ave
Ste 101
Idaho Falls, ID 83401
500 S 11th Ave
Ste 203
Pocatello, ID 83201
Phone (208) 232-5902
264 E Main St
Rexburg, ID 83440
Phone (208) 359-1888
Practitioners & affiliated clinicians
Practitioners 64
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Ammon, ID
- NPI 1053597344
-
- Social Worker
- Idaho Falls, ID
- NPI 1467887992
-
- Mental Health Counselor
- Idaho Falls, ID
- NPI 1780941278
-
- Psychiatric/Mental Health Nurse Practitioner
- Ammon, ID
- NPI 1023618659
-
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1568647998
-
- Psychiatric/Mental Health Nurse Practitioner
- Ammon, ID
- NPI 1275266991
-
- Social Worker
- Idaho Falls, ID
- NPI 1992937874
-
- Internal Medicine Physician
- Ammon, ID
- NPI 1336273085
-
- Family Nurse Practitioner
- Idaho Falls, ID
- NPI 1588365647
-
- Adult Health Nurse Practitioner
- Driggs, ID
- NPI 1427415553
-
- Social Worker
- Ammon, ID
- NPI 1184153504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1447426465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 E 17TH ST",
"city": "AMMON",
"state": "ID",
"postal_code": "834066669",
"telephone_number": "208-346-7500",
"fax_number": "208-346-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 E 17TH ST",
"city": "AMMON",
"state": "ID",
"postal_code": "834066601",
"telephone_number": "208-346-7500",
"fax_number": "208-346-7501"
}
],
"practiceLocations": [
{
"address_1": "264 E Main St",
"address_purpose": "LOCATION",
"city": "Rexburg",
"state": "ID",
"postal_code": "834402021",
"country_code": "US",
"telephone_number": "208-346-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 S 11th Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832014878",
"country_code": "US",
"telephone_number": "208-346-7500",
"fax_number": "208-346-7501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "502 S Woodruff Ave",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834015298",
"country_code": "US",
"telephone_number": "208-346-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEARL HEALTH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-30",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "ZAKERY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-346-7500"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447426465",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.