Individual provider · Type 1 NPI

Autumn Nikole Hennessy Kahea, CPSS

Peer Specialist · Pocatello, ID

NPI number 1124994454 Active

Practice location

611 Wilson Ave Ste 5
Pocatello, ID 83201-5046

Call (208) 915-8448 Map

Mailing address

506 W 37 S
Blackfoot, ID 83221-6177

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1124994454

Autumn Nikole Hennessy Kahea, CPSS's National Provider Identifier is 1124994454, issued on Oct 14, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 14, 2025.