CENTRAL IDAHO COUNSELING, PLLC (NPI# 1275944498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275944498 |
| Entity Type | Organization |
| Organization Name | CENTRAL IDAHO COUNSELING, PLLC |
| Other Organization Name | CENTRAL IDAHO COUNSELING |
| Practice Address |
125 Commerce St. Suite B Mccall ID 83638 |
| Practice Telephone | 2086342962 |
| Practice Fax Number | 2086345064 |
| Mailing Telephone | 2086342962 |
| Mailing Fax Number | 2086345064 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | MR. ERIC A MIKKELSON (OWNER/CLINICIAN) |
| Authorized Official Telephone | 2086342962 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
ID | Behavioral Health & Social Service Providers | |
| Y | 106H00000X | Marriage & Family Therapist | LMFT-6050 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 488228600C1 | 05 | |
| ID | PROVIDER TRANSACTION ACCESS NUMBER | 20002621 | 01 |
| Other Name | Type Code |
|---|---|
| Central Idaho Counseling | Doing Business As Name - Organization |
| Street Address |
125 COMMERCE ST. SUITE B |
| City | MCCALL |
| State | ID |
| Zip Code | 83638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255897708 | Seanne Jo Safaii | Dietitian, Registered | 1100 Heaven's Gate Ct. #1910, Mccall, ID 83638 | 2019-02-20 |
| 1053881284 | Debra Ann Jones Yensen | Counselor | 1242 Herrick Street N, Mccall, ID 83638 | 2018-11-30 |
| 1306369681 | Cheyene Joseph Nickerson | Pharmacist | 132 East Lake Street, Mccall, ID 83638 | 2017-07-19 |
| 1669923892 | Amy Leigh Forkan | Massage Therapist | 301 E Park St., Mccall, ID 83638 | 2016-10-24 |
| 1770982597 | Rachel L Smith | Acupuncturist | 106 E. Park St, Suite 102, Mc Call, ID 83638 | 2014-08-18 |
| 1548690829 | Sze Wan Chan | Pharmacist | 1001 North 2nd Street, Mccall, ID 83638 | 2013-11-22 |
| 1467882274 | Tamara Nagoda | Speech-Language Pathologist | 304 Edgewater Circle, Mccall, ID 83638 | 2013-11-14 |
| 1457537896 | Thomas L Moore | Counselor | 310 E. Lake St., Tom Moore, Mccall, ID 83638 | 2008-01-16 |
| 1659581585 | Barbara Gail Norton | Social Worker | 125 Commerce St, Suite B, Mccall, ID 83638 | 2007-05-22 |
| 1992923544 | Mccall-donnelly School District #421 | Local Education Agency (LEA) | 124 Idaho Street, Mccall, ID 83638 | 2007-04-20 |
| Find all providers in zip 83638 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902200819 | Eric Mikkelsen | Marriage & Family Therapist | 321 N 3rd St, Mccall, ID 83638-4439 | 2014-10-21 |
| 1861640328 | Jodie K Lea | Marriage & Family Therapist | 203 Hewitt St, Mccall, ID 83638 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070193 | Lana Elizabeth Bronn | Marriage & Family Therapist | 89 N Main St Ste 204, Driggs, ID 83422-5164 | 2020-07-09 |
| 1831725902 | Steven Michael Moroney | Marriage & Family Therapist | 24338 N Mckenzie Dr, Rathdrum, ID 83858-7390 | 2020-03-20 |
| 1285268102 | Sandra Marie Gunn | Marriage & Family Therapist | 2426 N Merritt Creek Loop Ste E, Coeur D Alene, ID 83814-4961 | 2020-02-29 |
| 1790322451 | Karen Casperson | Marriage & Family Therapist | 1018 Atelier Condo Dr., Sun Valley, ID 83353 | 2019-12-02 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1528602828 | Damaris Ellen Conrad | Marriage & Family Therapist | 205 S Lancaster Dr, Nampa, ID 83686-8077 | 2019-10-30 |
| 1063064111 | Stacy Annette Brittain | Marriage & Family Therapist | 501 E Indiana Ave, Coeur D Alene, ID 83814-2909 | 2019-07-09 |
| 1326510454 | Timothy Young | Marriage & Family Therapist | 211 E Coeur D Alene Ave, Coeur D Alene, ID 83814-4926 | 2018-12-31 |
| 1851819486 | Laura M. Brotherson | Marriage & Family Therapist | Cherry Lane Counseling Center 403 W. Cherry Lane, Meridian, ID 83642 | 2017-09-04 |
| 1972043966 | Jedidiah Dykstra | Marriage & Family Therapist | 1140 American Legion Blvd, Mountain Home, ID 83647-2821 | 2017-02-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.