Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Idaho Dept of Health & Welfare Reg 1 Amh Psr Cda

Mental Health Clinic/Center (Including Community Mental Health Center) in Coeur D Alene, ID · enumerated 2007 · authorized official Cora Jo Gussenhoven, Program Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023145893

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Registry record

Entity type Organization (Type 2)

Legal business name Idaho Dept of Health & Welfare Reg 1 Amh Psr Cda

Practice address 2195 Ironwood Ct, Coeur D Alene, ID, 83814

Phone (208) 769-1406

Fax (208) 769-1430

Enumeration date Feb 27, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

Authorized official

Name Cora Jo Gussenhoven

Title Program Manager

Phone (208) 769-1406

Other identifiers

Identifier	Type	State	Issuer
0028407	Medicaid	ID	-
000010018348	Other	-	BLUE SHIELD
HW256	Other	-	BLUE CROSS OF IDAHO

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Idaho Dept of Health & Welfare Reg 1 Amh Psr Cda located?

The practice location on file with NPPES is in Coeur D Alene, ID.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.