NPIMap

Organization Active NPI

Emmett Counseling and Psychiatric Services, LLC

  • Community/Behavioral Health Agency
  • Payette, ID
National Provider Identifier
1972805224
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMMETT COUNSELING AND PSYCHIATRIC SERVICES, LLC
Practice address
501 N 16TH St
110
Payette, ID 83661-2781
Phone
(208) 642-2600
Fax
(208) 642-6164
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Cathy Wall
Title
Member/Office Manager
Phone
(208) 365-5445

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

501 N 16TH St
110
Payette, ID 83661-2781

Mailing address

501 N 16TH St Ste 110
Payette, ID 83661-2782
Phone (208) 642-2600

Other names 1

  • Payette Counseling and Psychiatric Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110127000575 ID Part B Supplier - Clinic/Group Practice 0749469468 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Emmett, ID; Payette, ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Emmett Counseling and Psychiatric Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2007 E Quail Run Rd
Ste 1
Emmett, ID 83617
Phone (208) 365-5445

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1972805224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 16TH ST STE 110",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612782",
            "telephone_number": "208-642-2600",
            "fax_number": "208-642-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 16TH ST",
            "address_2": "110",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612781",
            "telephone_number": "208-642-2600",
            "fax_number": "208-642-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMETT COUNSELING AND PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "MEMBER/OFFICE MANAGER",
        "authorized_official_telephone_number": "208-365-5445"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payette Counseling and Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Payette, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.