Individual provider · Type 1 NPI

Enock Masengesho

Peer Specialist · Boise, ID

NPI number 1184548778 Active

Practice location

8752 W Fairview Ave # 9428
Boise, ID 83704-8207

Call (986) 301-0460 Map

Mailing address

129 N Echo Canyon Ln # 104
Meridian, ID 83642-5729

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 1184548778

Enock Masengesho's National Provider Identifier is 1184548778, issued on Aug 6, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Boise, ID. The record was last updated on Aug 6, 2026.