Portneuf Valley Family Center
NPI 1174629976 · Professional Counselor · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portneuf Valley Family Center is a Professional Counselor organization in Pocatello, ID (NPI 1174629976).
Provider details
- NPI number
- 1174629976
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Robert De Wall, Owner/Administrator(208) 233-7832
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Frequently asked questions
- What is Portneuf Valley Family Center's NPI number?
- Portneuf Valley Family Center's National Provider Identifier (NPI) is 1174629976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portneuf Valley Family Center?
- Portneuf Valley Family Center is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Portneuf Valley Family Center located?
- Portneuf Valley Family Center's practice location on file with NPPES is 444 Hospital Way Ste 477, Pocatello, ID 83201-2744.
- What is Portneuf Valley Family Center's phone number?
- The practice phone number listed in the NPPES registry for Portneuf Valley Family Center is (208) 233-7832.
- Does Portneuf Valley Family Center accept Medicare?
- Portneuf Valley Family Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Portneuf Valley Family Center?
- The authorized official listed on Portneuf Valley Family Center's NPPES record is Robert De Wall, Owner/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portneuf Valley Family Center's NPI active?
- Yes — Portneuf Valley Family Center's NPI (1174629976) is active in the NPPES registry as of the last update on 2025-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.