OrganizationActive
Mountain Sage Counseling LLC
NPI 1093453540 · Mental Health Clinic/Center (Including Community Mental Health Center) · Nampa, ID
Provider details
- NPI number
- 1093453540
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Davis, Owner(208) 590-7277
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
320 11th Ave S Ste 204
Nampa, ID 83651-5074
Phone: (208) 515-7661
Street-level locationGet directions
Mailing address
1438 E Stormy Dr
Meridian, ID 83646-3497
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.