Organization Active NPI

Mountain Home Behavioral Health LLC

  • Addiction (Substance Use Disorder) Counselor
  • Mountain Home, ID
National Provider Identifier
1932856135
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MOUNTAIN HOME BEHAVIORAL HEALTH LLC
Practice address
1815 American Legion Blvd Ste a
Mountain Home, ID 83647-3166
Phone
(208) 409-7122
NPI assigned
Mar 7, 2022
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Mrs. Reysan R Cotton, BS RNNPI 1659071330
Title
Owner
Phone
(208) 409-7122

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

1815 American Legion Blvd Ste a
Mountain Home, ID 83647-3166

Mailing address

1225 E 18TH N
Mountain Home, ID 83647-1822
Phone (208) 409-7122

National Provider Directory

National Provider Directory

Locations

1815 American Legion Blvd
Ste A
Mountain Home, ID 83647
Phone (208) 409-7122

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": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1932856135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E 18TH N",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836471822",
            "telephone_number": "208-409-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 AMERICAN LEGION BLVD STE A",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473166",
            "telephone_number": "208-409-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HOME BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "REYSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-409-7122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS RN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.