OrganizationActive
A Healthy Mind, LLC
NPI 1760268791 · Addiction (Substance Use Disorder) Counselor · Jerome, ID
Provider details
- NPI number
- 1760268791
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christina Rebolledo, Owner(208) 969-1002
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
414 N Lincoln Ave Ste 4
Jerome, ID 83338-2300
Phone: (208) 969-1002
Street-level locationGet directions
Mailing address
725 Idaho St
Gooding, ID 83330-1535
Registry dates
- Enumerated
- 2023-09-06
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.