| Angela Maria Hernandez - Harris, MA, NCC, LCPC | |
|
115 W Main St Ste 203, Boise, ID 83702-7303 | |
| (208) 381-8330 | |
| (208) 381-1600 |
| Full Name | Angela Maria Hernandez - Harris |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 115 W Main St Ste 203, Boise, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326395146 | NPI | - | NPPES |
| 1326395146. | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC-5805 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Maria Hernandez - Harris, MA, NCC, LCPC 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-8866 | Angela Maria Hernandez - Harris, MA, NCC, LCPC 115 W Main St Ste 203, Boise, ID 83702-7303 Ph: (208) 381-8330 |
Roxanne L Pickerel, M.S., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Fort St, Boise, ID 83702 Phone: 208-841-8109 Fax: 208-203-1879 | |
Mrs. Mary Claire Fery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Orchard St Ste 128, Boise, ID 83705 Phone: 208-918-1283 | |
Rachel Marie Piazza Voight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1075 E Park Blvd, Boise, ID 83712 Phone: 208-381-5970 | |
Ms. Terri Turpin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1408 W Hays St, Boise, ID 83702 Phone: 208-429-5730 Fax: 208-336-7125 | |
Mr. Charles Edward Vollet, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Robert Street, Suite 101, Boise, ID 83705 Phone: 208-344-0844 Fax: 208-344-0592 | |
Debra Lynne Gallagher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 S Orchard St Ste 290, Boise, ID 83705 Phone: 208-343-2770 | |
Caitlin Hart, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 3350 W Americana Ter Ste 360-e, Boise, ID 83706 Phone: 208-503-1230 |