OrganizationActive
State of Idaho
NPI 1790131027 · Community/Behavioral Health Agency · Boise, ID
State of Idaho is a Community/Behavioral Health Agency organization in Boise, ID (NPI 1790131027).
Provider details
- NPI number
- 1790131027
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Wayne Nubile, Clinical Supervisor(208) 334-0824
- License
- LCPC-5579 (ID)
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1720 N Westgate Dr
Boise, ID 83704-7164
Phone: (208) 334-0824
Street-level locationGet directions
Mailing address
2322 W State St
Boise, ID 83702-3161
Registry dates
- Enumerated
- 2016-05-05
- Last updated
- 2016-05-05
Frequently asked questions
- What is State of Idaho's NPI number?
- State of Idaho's National Provider Identifier (NPI) is 1790131027, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Idaho?
- State of Idaho is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is State of Idaho located?
- State of Idaho's practice location on file with NPPES is 1720 N Westgate Dr, Boise, ID 83704-7164.
- What is State of Idaho's phone number?
- The practice phone number listed in the NPPES registry for State of Idaho is (208) 334-0824.
- Who is the authorized official for State of Idaho?
- The authorized official listed on State of Idaho's NPPES record is Wayne Nubile, Clinical Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Idaho's NPI active?
- Yes — State of Idaho's NPI (1790131027) is active in the NPPES registry as of the last update on 2016-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.