Four Rivers Mental Health, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

LSW2488 Issued in ID

Legal business name

FOUR RIVERS MENTAL HEALTH, INC.

Practice address

1103 Blaine St
Caldwell, ID 83605-3835

Phone

(208) 454-2766

Fax

(208) 454-2771

NPI assigned

Apr 2, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krissie A Munson, LSW

Title

President

Phone

(208) 454-2766

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477674380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053835",
            "telephone_number": "208-454-2766",
            "fax_number": "208-454-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BLAINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053835",
            "telephone_number": "208-454-2766",
            "fax_number": "208-454-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR RIVERS MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "KRISSIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-454-2766",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "ID",
            "license": "LSW2488",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "LSW2488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jane Floyd, FNP-BC
• Savanna Foley
• Sarina L Folwell, RN
• Carolyn Christine Foreman
• Scott Forwood, PTA
• Breann Faye Fox, DPT
• Erin Thomas France, MSN, APRN, FNP-BC
• Kellie Frank
• Brian Frasure, LCSW
• Coty Lynn Freeman, RN

• Developmentally Disabled Services Day Training Agency in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Developmentally Disabled Services Day Training Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.