| Emmett Counseling And Psychiatric Services, Llc | |
|
2007 E Quail Run Rd Suite 1 Emmett ID 83617-5059 | |
| (208) 365-5445 | |
| (208) 365-6226 |
| Full Name | Emmett Counseling And Psychiatric Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2007 E Quail Run Rd, Emmett, Idaho |
| Authorized Official Name and Position | Cathy Wall (OFFICE MANAGER) |
| Authorized Official Contact | 2083655445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmett Counseling And Psychiatric Services, Llc 2007 E Quail Run Rd Suite 1 Emmett ID 83617-5059 Ph: (208) 365-5445 | Emmett Counseling And Psychiatric Services, Llc 2007 E Quail Run Rd Suite 1 Emmett ID 83617-5059 Ph: (208) 365-5445 |
| NPI Number | 1992007249 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Medicare PECOS PAC ID | 0749469468 |
|---|---|
| Medicare Enrollment ID | O20110127000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992007249 | NPI | - | NPPES |
| Provider Name | Michael S Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083707277 PECOS PAC ID: 3577500248 Enrollment ID: I20050413001291 |
| Provider Name | Lawrence E Banta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568440295 PECOS PAC ID: 3678592094 Enrollment ID: I20051115000804 |
| Provider Name | Brad W Levitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174549075 PECOS PAC ID: 6709846249 Enrollment ID: I20051121001011 |
| Provider Name | Jody A Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851472989 PECOS PAC ID: 0244123743 Enrollment ID: I20071224000046 |
| Provider Name | Karen L Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295735801 PECOS PAC ID: 0749361533 Enrollment ID: I20080117000766 |
| Provider Name | Julie N Labernik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376732933 PECOS PAC ID: 2769512425 Enrollment ID: I20100608000099 |
| Provider Name | Gail L Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972876639 PECOS PAC ID: 8820245459 Enrollment ID: I20120904000223 |
| Provider Name | Patricia A Barfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386860930 PECOS PAC ID: 4385736735 Enrollment ID: I20130603000058 |
| Provider Name | Ashleigh T Bars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356759948 PECOS PAC ID: 4981928371 Enrollment ID: I20150112002310 |
| Provider Name | Mandy L Mitchell Hopwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518394006 PECOS PAC ID: 2668758897 Enrollment ID: I20170517002764 |
| Provider Name | Amber Loya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518488931 PECOS PAC ID: 6103190459 Enrollment ID: I20180115000249 |
| Provider Name | William T Steers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568938835 PECOS PAC ID: 1456694280 Enrollment ID: I20190520001426 |
| Provider Name | Tracie A Bolen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487179172 PECOS PAC ID: 4981017761 Enrollment ID: I20210115002350 |
Payette Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 E Quail Run Rd, Suite 1, Emmett, ID 83617 Phone: 208-365-5445 Fax: 208-365-6226 | |
Emmett Counseling And Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 E Quail Run Rd, Ste 1, Emmett, ID 83617 Phone: 208-365-5445 Fax: 208-365-6226 | |
Trinity Counseling Ministries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 W Main St, Emmett, ID 83617 Phone: 208-329-8421 | |
Amethyst Counseling And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 E Locust St, Emmett, ID 83617 Phone: 208-274-4025 | |
Jill J. Sprague, Ma, Lcpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 829b S Washington Ave, Emmett, ID 83617 Phone: 208-365-3141 Fax: 208-398-8311 | |
Clarity Counseling Connections Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 E Locust St, Emmett, ID 83617 Phone: 208-918-0054 Fax: 844-696-1471 | |
Family Services Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 Highway 16, Emmett, ID 83617 Phone: 208-365-2525 Fax: 208-365-2234 |