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Portneuf Valley Family Center

Professional Counselor in Pocatello, ID · enumerated 2006 · authorized official Robert De Wall, Owner/Administrator.

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

National Provider Identifier

1174629976

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Registry record

Entity type Organization (Type 2)
Legal business name Portneuf Valley Family Center
Practice address 444 Hospital Way Ste 477, Pocatello, ID, 83201
Fax (208) 233-7835
Enumeration date Sep 16, 2006
Last updated in NPPES Jun 27, 2025

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Primary
104100000X Social Worker Behavioral Health & Social Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Robert De Wall
Title Owner/Administrator

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Portneuf Valley Family Center?
Portneuf Valley Family Center is registered in NPPES as a Professional Counselor (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-27.