Alpine Integrated Wellness PLLC
NPI 1396385845ActiveOrganization· Counselor, Mental Health· Ketchum, ID
Counselor, Mental Health in Ketchum, Idaho, registered in NPPES in January 2020. The authorized official on file is Sarah O'Connell, Director Of Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396385845 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2020 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor | 101Y00000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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