Organization Active NPI

Obsidian Mental Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lewiston, ID
National Provider Identifier
1972320984
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OBSIDIAN MENTAL HEALTH, PLLC
Practice address
1034 Main St
Lewiston, ID 83501-1842
Phone
(706) 979-1524
NPI assigned
Sep 21, 2024
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Ms. Christine Thomas, PMHNP-BCNPI 1922796291
Title
Owner/Provider
Phone
(706) 979-1524

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1034 Main St
Lewiston, ID 83501-1842

Mailing address

417 2ND Ave
Lewiston, ID 83501-2111

National Provider Directory

National Provider Directory

Locations

417 2nd Ave
Lewiston, ID 83501

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": "1726876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1972320984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 2ND AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAIN ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011842",
            "telephone_number": "706-979-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSIDIAN MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-21",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "706-979-1524",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.