Deneve Mental Health Clinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DENEVE MENTAL HEALTH CLINIC

Practice address

1970 E 17TH St Ste 111B
Idaho Falls, ID 83404-8046

Phone

(208) 541-5257

NPI assigned

Dec 27, 2022

Last updated

Jan 13, 2023By 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

Denise Loraine Barnes, FNP-C, PMHNP-C

Title

Nurse Practitioner

Phone

(208) 716-6445

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1487367124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 CUMBERLAND DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048414",
            "telephone_number": "208-541-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E 17TH ST STE 111B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048046",
            "telephone_number": "208-541-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENEVE MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "LORAINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "208-716-6445",
        "authorized_official_credential": "FNP-C, PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Delgado-Torres, LPCC
• Wendy Delgado
• Ellie Deloney
• Tara Demkowicz, RN--SANEA
• Catherine Iola Demott, LMSW
• Jeanette Marie Denning, LCSW
• Jeffrey Michael Denning, DPT
• Dennis Radford OD PA
• Jennie Ellen Dennis, LSW
• John Dennis, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.