NPI 1124994454

Autumn Nikole Hennessy Kahea, CPSS

Practitioner Peer Specialist Pocatello, ID

Practice location

Address: 611 Wilson Ave STE 5, Pocatello, ID 83201-5046
Phone: (208) 915-8448
Mailing address: 506 W 37 S, Blackfoot, ID 83221-6177

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Idaho →

Registry record

NPI: 1124994454
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2025
Record last updated: 14 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.