NPIMap

Organization Active NPI

BLMH Mental Health

Doing business as Bear Lake Memorial Hospital Mental Health

  • Mental Health Counselor
  • Montpelier, ID
National Provider Identifier
1447452800
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BLMH MENTAL HEALTH
Doing business as
Bear Lake Memorial Hospital Mental Health
Practice address
455 Washington St
Ste 2
Montpelier, ID 83254-1600
Phone
(208) 847-4464
Fax
(208) 847-3093
NPI assigned
Jun 5, 2007
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BEAR LAKE COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Shae Jayden Kunz
Title
Office Manager/Credentialing
Phone
(208) 847-4464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X 35 ID

Addresses

Primary practice location

455 Washington St
Ste 2
Montpelier, ID 83254-1600

Mailing address

455 Washington St Ste 2
Montpelier, ID 83254-1600
Phone (208) 847-4464

Other names 1

  • Bear Lake Memorial Hospital Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071003000677 ID Part B Supplier - Clinic/Group Practice 5395799860 Receives reassigned benefits from 37 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Soda Springs, ID; Preston, ID; Montpelier, ID

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Bear Lake Mem Hosp Crna

Locations

455 Washington St
Ste 2
Montpelier, ID 83254
Phone (208) 847-3000

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1447452800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 WASHINGTON ST STE 2",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541600",
            "telephone_number": "208-847-4464",
            "fax_number": "208-847-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 WASHINGTON ST",
            "address_2": "STE 2",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541600",
            "telephone_number": "208-847-4464",
            "fax_number": "208-847-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLMH MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAR LAKE COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2007-06-05",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "KUNZ",
        "authorized_official_first_name": "SHAE",
        "authorized_official_middle_name": "JAYDEN",
        "authorized_official_title_or_position": "OFFICE MANAGER/CREDENTIALING",
        "authorized_official_telephone_number": "208-847-4464"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "35",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Lake Memorial Hospital Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bear Lake Memorial Hospital Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montpelier, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.