BRONCHO MENTAL HEALTH NPI 1023702362

NPI Information

  • NPI: 1023702362
  • Provider Name: BRONCHO MENTAL HEALTH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 772 E ROSS FORK ROAD #41
    POCATELLO, ID
    ZIP 83202
  • Phone: (208) 220-7520

Map and Directions

Get Directions

NPI Details

BRONCHO MENTAL HEALTH is a mental health counselor in Pocatello, ID. BRONCHO MENTAL HEALTH NPI is 1023702362. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

772 E ROSS FORK ROAD #41
POCATELLO, ID
ZIP 83202
Phone: (208) 220-7520

The provider's authorized official is Krissy L Broncho .
The authorized official title is President and has the following contact phone number (208) 220-7520.

The enumeration date for this NPI number is 6/8/2023 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.