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
- Last updated
- Sep 22, 2025
- 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
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
1740 E 17th St
#A
Idaho Falls, ID 83404
Phone (208) 524-1278
502 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 348-7500
548 Lomax St
Idaho Falls, ID 83401
Phone (208) 524-3733
566 S Woodruff Ave
Idaho Falls, ID 83401
725 S Woodruff Ave
Ste 101
Idaho Falls, ID 83401
Practitioners & affiliated clinicians
Practitioners 65
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.
-
- 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": [],
"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.