Broader Wellness, LLC
NPI 1689480030 · Mental Health Clinic/Center (Including Community Mental Health Center) · Boise, ID
Broader Wellness, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Boise, ID (NPI 1689480030).
Provider details
- NPI number
- 1689480030
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacey Martinez, LLC Member/Manager(986) 279-3252
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
1 yr 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
- 2024-12-09
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Frequently asked questions
- What is Broader Wellness, LLC's NPI number?
- Broader Wellness, LLC's National Provider Identifier (NPI) is 1689480030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broader Wellness, LLC?
- Broader Wellness, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Broader Wellness, LLC located?
- Broader Wellness, LLC's practice location on file with NPPES is 3350 W Americana Ter Ste 210a, Boise, ID 83706-2521.
- What is Broader Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broader Wellness, LLC is (986) 279-3252.
- Who is the authorized official for Broader Wellness, LLC?
- The authorized official listed on Broader Wellness, LLC's NPPES record is Stacey Martinez, LLC Member/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broader Wellness, LLC's NPI active?
- Yes — Broader Wellness, LLC's NPI (1689480030) is active in the NPPES registry as of the last update on 2024-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.