Dynovion Cognitive Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DYNOVION COGNITIVE WELLNESS, LLC

Practice address

12550 W Explorer Dr
Boise, ID 83713-1826

Phone

(986) 230-2245

NPI assigned

May 23, 2025

Organization subpart

No

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

Authorized official

Name

Timothy J HoekstraNPI 1184889248

Title

Ceo

Phone

(208) 964-7189

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy J. Hoekstra, MS, LCPC, LMHC, MBA

  • Mental Health Counselor
  • Wenatchee, WA
  • NPI 1184889248
  NPD Authorized official
• Savanna Foley

  • Student in an Organized Health Care Education/Training Program
  • Caldwell, ID
  • NPI 1336948900
  NPD

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1619760501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14233 SILVER RIDGE RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075448",
            "telephone_number": "208-964-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 W EXPLORER DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131826",
            "telephone_number": "986-230-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNOVION COGNITIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "HOEKSTRA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-964-7189"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond O Dyer, LMSW
• Amanda Dykstra, M.S., CCC-SLP
• Gabrielle I Dyment, NP-C
• Dynamed Inc
• Dynamic Horizons Counseling LLC
• Amber Irene Dysart, OTR/L
• Andrew Dysart, MD
• Jodie Dzaich Pounders, LPC
• Jeffrey S Dzieczkowski, MD
• Joanna Dziewa, APRN-CNP

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.