OrganizationActive
Idaho Dept of Health & Welfare Reg 1 Amh Psr Bonners Ferry
NPI 1376670091 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bonners Ferry, ID
Provider details
- NPI number
- 1376670091
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cora Jo Gussenhoven, Program Manager(208) 769-1406
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
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
Rt 4 6522 Tamarack Ln
Bonners Ferry, ID 83805-9805
Phone: (208) 267-3187
Fax: (208) 267-3251
Street-level locationGet directions
Mailing address
Rt 4 6522 Tamarack Ln
Bonners Ferry, ID 83805-9805
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.