| NPI | 1194962829 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-01-16 |
| Last Updated | 2026-03-05 |
| Authorized Official | Michelle Schaller Senior Director of BH & RCM Phone: 7123558480 |
| Mailing Address | 12553 W Explorer Dr Ste 190 Boise, ID 83713-1612 United States Phone: (208) 376-7083 | Fax: (208) 321-5069 📍 View Map |
| Primary Practice Address | 12553 W Explorer Dr Ste 190 Boise, ID 83713-1612 United States Phone: (208) 376-7083 | Fax: (208) 321-5069 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QM0801X – Clinic/Center, Mental Health (Including Community Mental Health Center) | - | - |
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About NPI 1194962829
Trivium Life Services Mountain West, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1194962829. The primary specialty listed is Clinic/Center, Mental Health (Including Community Mental Health Center). The organization is located in Boise, ID. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-01-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194962829?
NPI 1194962829 belongs to Trivium Life Services Mountain West, Llc, a Clinic/Center, Mental Health (Including Community Mental Health Center) in Boise, ID. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194962829 active?
The current status of NPI 1194962829 in the NPPES registry is Active. The record was last updated on 2026-03-05.
What specialty is NPI 1194962829?
NPI 1194962829 is classified under the taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194962829?
You can verify NPI 1194962829 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194962829?
The primary practice address on file for NPI 1194962829 is 12553 W Explorer Dr Ste 190, Boise, ID 83713-1612. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194962829 issued?
NPI 1194962829 was first issued (enumerated) on 2009-01-16. The NPPES record was last updated on 2026-03-05.
Practice Location Map
Trivium Life Services Mountain West, Llc is located at 12553 W Explorer Dr Ste 190, Boise, ID. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Trivium Life Services Mountain West, Llc. All records sourced from the CMS NPPES registry.