| Adam Ray Burwell, LCPC | |
|
1799 N Lakes Pl, Meridian, ID 83646-1833 | |
| (208) 888-5905 | |
| Not Available |
| Full Name | Adam Ray Burwell |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 1799 N Lakes Pl, Meridian, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508526443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | COUI-8559 (Idaho) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPC-8743 (Idaho) | Secondary |
| 101YM0800X | Counselor - Mental Health | 8331295 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Full Circle Health Inc | 6709986797 | 96 |
| Entity Name | Full Circle Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841490075 PECOS PAC ID: 6709986797 Enrollment ID: O20070924000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Ray Burwell, LCPC 1799 N Lakes Pl, Meridian, ID 83646-1833 Ph: () - | Adam Ray Burwell, LCPC 1799 N Lakes Pl, Meridian, ID 83646-1833 Ph: (208) 888-5905 |
Diane Smith, Counselor Medicare: May Accept Medicare Assignments Practice Location: 2131 S Bonito Way, Meridian, ID 83642 Phone: 208-202-4732 | |
Gregory M Deitchler, MA L.M.F.T., L.P.C., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3061 S. Meridian Rd., Suite 100, Meridian, ID 83642 Phone: 208-350-0330 Fax: 208-576-6915 | |
Mrs. Chris Zukowski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 S Topaz Way, Meridian, ID 83642 Phone: 208-888-3151 | |
Tami Marie Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3597 E Monarch Sky Ln Ste F-240, Meridian, ID 83646 Phone: 208-890-7165 | |
Courtney S. Johnson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1047 S Wells St, Meridian, ID 83642 Phone: 208-670-5551 | |
Shelby Martini, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 W Ustick Rd Ste 120, Meridian, ID 83646 Phone: 208-506-0520 | |
Chad Gold, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2950 E Magic View Dr Ste 192, Meridian, ID 83642 Phone: 208-843-4003 |