BANYAN TREE WELLNESS, PLLC
NPI 1164047460
Community/Behavioral Health in Boise, ID
NPI Status: Active since June 11, 2020
Contact Information
410 S ORCHARD ST STE 124
BOISE, ID
ZIP 83705
Phone: (208) 398-0826
- Organization
- Community/Behavioral Health
- Accepts Insurance
About BANYAN TREE WELLNESS, PLLC
This page provides the complete NPI Profile along with additional information for Banyan Tree Wellness, Pllc, a provider established in Boise, Idaho operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1164047460 assigned on June 2020. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Billylynn Pestell Lcsw (Therapist/owner)
- NPI
- 1164047460
- Provider Name
- BANYAN TREE WELLNESS, PLLC
- Entity Type
- Organization
- Location Address
- 410 S ORCHARD ST STE 124 BOISE, ID 83705
- Location Phone
- (208) 398-0826
- Mailing Address
- 410 S ORCHARD ST STE 124 BOISE, ID 83705
- Mailing Phone
- (208) 398-0826
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2020
- Last Update Date
- 06-05-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1497318802 | OTHER (01) | MT | NPI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 0 | 4 | 7 | 4 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 0 | 4 | 14 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 0 + 4 + 1 + 4 + 4 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1164047460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710047766 | JULIE KAY ROBINSON LMSW Individual | Social Worker | 410 S ORCHARD ST STE 124 BOISE, ID 83705 (208) 323-0996 |
| 1760894612 | MS. JESSICA DANIELLE ADAMS LCPC Individual | Counselor | 410 S ORCHARD ST STE 124 BOISE, ID 83705 (208) 344-5440 |
| 1932829819 | JESSE TANGEN LCSW COUNSELING PLLC Organization | Counselor (Mental Health) | 410 S ORCHARD ST STE 124 BOISE, ID 83705 (701) 893-8828 |
| 1821391525 | DOUGLAS J SHEY LPC Individual | Counselor (Professional) | 410 S ORCHARD ST STE 124 BOISE, ID 83705 (208) 515-2127 |
| 1780155739 | TRACEY CAROL BRESKI LPC-6531 Individual | Counselor | 410 S ORCHARD ST STE 124 BOISE, ID 83705 (208) 268-8333 |
| 1528580776 | ANNIE MIKESELL MA, LCPC Individual | Counselor (Mental Health) | 410 S ORCHARD ST STE 124 BOISE, ID 83705 (208) 146-0719 |
| 1497318802 | BILLYLYNN LEIUILANI HAN PESTELL LCSW Individual | Social Worker (Clinical) | 410 S ORCHARD ST STE 124 BOISE, ID 83705 (208) 398-0826 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164047460, enumerated in the NPI registry as an "organization" on June 11, 2020
The provider is located at 410 S Orchard St Ste 124 Boise, Id 83705 and the phone number is (208) 398-0826
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider might be accepting Accepts: Mountain Health CO-OP, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 11, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.