Golden Mountain Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GOLDEN MOUNTAIN WELLNESS LLC

Practice address

425 S Whitley Dr Ste 200
Fruitland, ID 83619-2611

Phone

(208) 230-7452

Fax

(208) 230-7452

NPI assigned

Dec 16, 2025

Last updated

Dec 16, 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

Paige Bunker, LCSWNPI 1861140477

Title

Owner

Phone

(208) 230-7452

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Paige Bunker

  • Social Worker
  • Fruitland, ID
  • NPI 1861140477
  Authorized official Same address or phone

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1649134347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S WHITLEY DR STE 200",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192611",
            "telephone_number": "208-230-7452",
            "fax_number": "208-230-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S WHITLEY DR STE 200",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192611",
            "telephone_number": "208-230-7452",
            "fax_number": "208-230-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MOUNTAIN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "BUNKER",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-230-7452",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fruitland Orthopedic Clinic
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• Alia Bonnie Fulleton, LPC
• Billy J Galligar, MD
• Colleen E Gardner, LCPC, NCC
• Good Life Physical Therapy PLLC
• Theodore Gross
• Guardian Home Care, Inc (Enhabit Hospice of Idaho)
• Curtis J Guiles, DDS
• Sean P Hackett, PA-C

• Clinical Social Worker in Fruitland, ID
• Providers in Fruitland, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.