Organization Active NPI

Wellspace PLLC

  • Adult Mental Health Clinic/Center
  • Boise, ID
National Provider Identifier
1912891433
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WELLSPACE PLLC
Practice address
1880 W Judith LN Ste 220
Boise, ID 83705-3138
Phone
(208) 918-2588
NPI assigned
Jun 9, 2025
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Dr. April V Rose, PSYDNPI 1164888699
Title
Member
Phone
(208) 918-2588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1880 W Judith LN Ste 220
Boise, ID 83705-3138

Mailing address

1880 W Judith LN Ste 220
Boise, ID 83705-3138
Phone (208) 918-2588

Other practice location 1

414 Church St Ste 205B
Sandpoint, ID 83864-7002
Phone (208) 946-5357

Other practice location 2

504 Main St Ste 126
Lewiston, ID 83501-1846
Phone (208) 298-2078

National Provider Directory

National Provider Directory

Locations

1523 E Boise Ave
Boise, ID 83706
Phone (208) 918-2588

1880 W Judith Ln
Ste 220
Boise, ID 83705

6568 S Federal Way
Boise, ID 83716
Phone (208) 284-0337

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1912891433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W JUDITH LN STE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053138",
            "telephone_number": "208-918-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W JUDITH LN STE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053138",
            "telephone_number": "208-918-2588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Church St Ste 205B",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838647002",
            "country_code": "US",
            "telephone_number": "208-946-5357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Main St Ste 126",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835011846",
            "country_code": "US",
            "telephone_number": "208-298-2078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-918-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.