Individual provider · Type 1 NPI

Shane Richins, CPRC

Peer Specialist · Idaho Falls, ID

NPI number 1275409559 Active

Practice location

1020 Land Bank St
Idaho Falls, ID 83402-1809

Call (208) 522-6155 Map

Fax (208) 286-4292

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 1275409559

Shane Richins, CPRC's National Provider Identifier is 1275409559, issued on Oct 14, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 14, 2025.