Individual provider · Type 1 NPI

Jenny Caudle

Peer Specialist · Idaho Falls, ID

NPI number 1407716152 Active

Practice location

115 E 16th St
Idaho Falls, ID 83404-5919

Call (208) 523-1130 Map

Fax (208) 529-6501

Mailing address

111 E 16th St
Idaho Falls, ID 83404-5919

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 1407716152

Jenny Caudle's National Provider Identifier is 1407716152, issued on Nov 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 Nov 14, 2025.