NPI 1396385845 · live from the CMS NPI Registry
Alpine Integrated Wellness PLLC
Counselor, Mental Health in Ketchum, ID. National Provider Identifier 1396385845, active.
NPI record
| NPI | 1396385845 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 220 2nd Ave S, Suite 203, Ketchum, ID 83340 |
| Practice phone | 208-450-5645 |
| Mailing address | Po Box 533, Ketchum, ID 83340 |
| Enumerated | January 13, 2020 |
| Last updated | June 30, 2026 |
| Authorized official | Sarah O'Connell, Director Of Operations |
| Other names | Alpine Integrative Wellness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.