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NPI · 1053615260 · NPPES-sourced

State Of Idaho

ActivePsychologist
NPI Number
1053615260
Type 2 · Organisation
Taxonomy Code
103T00000X
Contact
(208) 785-8506
License ID · 17
Last Updated
Enumerated
Primary practice addressID · 83221-4925
700 E Alice StBlackfoot, ID 83221-4925
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About this NPIWhat this record shows.

NPI 1053615260 is registered to State Of Idaho, a healthcare organisation classified as "Psychologist" and located at 700 E Alice St in Blackfoot, Idaho. The organisation's authorised official is Lorna Colvin. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 00844ID· Issued by BLUE CROSS
  • 20315ID· Issued by REGENCE BLUE SHIELD

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans State Of Idaho accepts. To confirm in-network status with your specific health plan, contact State Of Idaho directly at (208) 785-8506.

Frequently asked

Yes. NPI 1053615260 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 785-8506.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. State Of Idaho is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy103T00000X
Last updated
Enumerated
StatusActive
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2 records · same addressOther providers at this location.

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Same specialtyOther Psychologist providers in Idaho.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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