Destry Wolbert

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

707 N 7TH Ave Ste D
Pocatello, ID 83201-5796

Phone

(208) 242-3044

Fax

(208) 904-0494

NPI assigned

Dec 4, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cognitive Restructuring, LLC.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pocatello, ID
  • NPI 1255971024

  Peer Specialist

  NPD
• Redford Counseling and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocatello, ID
  • NPI 1063837003
  NPD

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1508729872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N 7TH AVE STE D",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015796",
            "telephone_number": "208-242-3044",
            "fax_number": "208-904-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N 7TH AVE STE D",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015796",
            "telephone_number": "208-242-3044",
            "fax_number": "208-904-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLBERT",
        "first_name": "DESTRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Wilson
• Patricia Ann Wilson, CNIM
• Brianna Dannielle Windhorst, LPC
• David Leo Wise, M.D.
• Kori Ann Wittrock, PHARMD
• Kari Y Wolbert, LPC
• Haille Jean Wolf
• Ryan Daniel Wolfley, PA-C
• Laura Wolter
• Pik Ching Wong, LPC

• Case Manager/Care Coordinator in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Case Manager/Care Coordinator in Idaho

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