Pearl Health Clinic

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

PEARL HEALTH CLINIC

Practice address

2705 E 17TH St
Ammon, ID 83406-6669

Phone

(208) 356-7500

NPI assigned

Mar 31, 2025

Organization subpart

No

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

Authorized official

Name

Zak Warren

Title

Owner

Phone

(208) 346-7500

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mazie Forero, BS

  • Social Worker
  • Ammon, ID
  • NPI 1629867460
  NPD

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1972306330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066669",
            "telephone_number": "208-356-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "ZAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-346-7500"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalob J. Parsons, AU.D.
• Baden James Patterson, DC
• Ruth Anne Patton, MSW, LCSW
• Peak Performance Therapy Services P C
• Pearl Health Clinic
• Pearl Primary Care PLLC
• Jason L Peebles, LMSW
• Chrisanna Marie Peterson
• Colton Jeffery Phelps, MSN, PMHNP-BC
• Scott Pickett, D.D.S.

• Social Worker in Ammon, ID
• Providers in Ammon, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.