What is Ethan Bonham's NPI number?

Ethan Bonham's National Provider Identifier (NPI) is 1588596829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Bonham's specialty?

Ethan Bonham is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Ethan Bonham located?

Ethan Bonham's practice location on file with NPPES is 921 S 8th Ave, Pocatello, ID 83201-5377.

What is Ethan Bonham's phone number?

The practice phone number listed in the NPPES registry for Ethan Bonham is (816) 977-7323.

Is Ethan Bonham's NPI active?

Yes — Ethan Bonham's NPI (1588596829) is active in the NPPES registry as of the last update on 2026-06-01.

IndividualActive

Ethan Bonham

NPI 1588596829 · Mental Health Counselor · Pocatello, ID

Ethan Bonham is a Mental Health Counselor provider in Pocatello, ID (NPI 1588596829).

Provider details

NPI number: 1588596829
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No
License: 7481011 (ID)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense 7481011 (ID)
Behavioral Health & Social Service Providers

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

921 S 8th Ave

Pocatello, ID 83201-5377

Phone: (816) 977-7323

Street-level locationGet directions

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Mailing address