Autumn Leaves Psychiatry, PLLC
NPI 1396326096 · Mental Health Clinic/Center (Including Community Mental Health Center) · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Autumn Leaves Psychiatry, PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Idaho Falls, ID (NPI 1396326096).
Provider details
- NPI number
- 1396326096
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Merjurie Ricklefs, Psychiatric Nurse Practitioner(208) 821-0357
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2021-04-15
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Frequently asked questions
- What is Autumn Leaves Psychiatry, PLLC's NPI number?
- Autumn Leaves Psychiatry, PLLC's National Provider Identifier (NPI) is 1396326096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Autumn Leaves Psychiatry, PLLC?
- Autumn Leaves Psychiatry, PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Autumn Leaves Psychiatry, PLLC located?
- Autumn Leaves Psychiatry, PLLC's practice location on file with NPPES is 3670 S 25th E Ste 4, Idaho Falls, ID 83404-4956.
- What is Autumn Leaves Psychiatry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Autumn Leaves Psychiatry, PLLC is (208) 821-0357.
- Does Autumn Leaves Psychiatry, PLLC accept Medicare?
- Autumn Leaves Psychiatry, PLLC 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 Autumn Leaves Psychiatry, PLLC?
- The authorized official listed on Autumn Leaves Psychiatry, PLLC's NPPES record is Merjurie Ricklefs, Psychiatric Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Autumn Leaves Psychiatry, PLLC's NPI active?
- Yes — Autumn Leaves Psychiatry, PLLC's NPI (1396326096) is active in the NPPES registry as of the last update on 2021-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.