POWDER BASIN ASSOCIATES NPI 1184881153

NPI Information

  • NPI: 1184881153
  • Provider Name: POWDER BASIN ASSOCIATES
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 204 OREGON ST
    KELLOGG, ID
    ZIP 83837
  • Phone: (208) 783-0427

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NPI Details

POWDER BASIN ASSOCIATES is a mental health counselor in Kellogg, ID. POWDER BASIN ASSOCIATES NPI is 1184881153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

204 OREGON ST
KELLOGG, ID
ZIP 83837-008
Phone: (208) 783-0427
Fax: (208) 783-1387

The provider's authorized official is Lynn A Moore .
The authorized official title is Owner President and has the following contact phone number (208) 209-0535.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1807277200MEDICAIDIDAHO

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

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