| Caren Loomis Cox, | |
|
623 S Main St Ste 1, Moscow, ID 83843-2983 | |
| (208) 882-2011 | |
| (208) 883-1853 |
| Full Name | Caren Loomis Cox |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 623 S Main St Ste 1, Moscow, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174977144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-7272 (Idaho) | Primary |
| Entity Name | Gritman Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538634522 PECOS PAC ID: 0941545784 Enrollment ID: O20181221002296 |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240916003985 |
| Mailing Address | Practice Location Address |
|---|---|
| Caren Loomis Cox, 530 S Asbury St, Suite 2, Moscow, ID 83843-2242 Ph: (208) 882-2566 | Caren Loomis Cox, 623 S Main St Ste 1, Moscow, ID 83843-2983 Ph: (208) 882-2011 |
Monty D Hays, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Almon St Apt 214, Moscow, ID 83843 Phone: 208-878-2350 |
Hannah Claire Dejong, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 S Jefferson St, Moscow, ID 83843 Phone: 208-883-1144 |
Michelle Brunke, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-683-8320 Fax: 208-969-8380 |
Danielle Hardy, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 E B St Apt B, Moscow, ID 83843 Phone: 208-816-1449 |
Tina M Overstreet, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 509-444-8200 |
Christine Meyer, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 E F St, Moscow, ID 83843 Phone: 208-310-1549 |
Ms. Andrea L Masom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 E 3rd St, Suite 2b, Moscow, ID 83843 Phone: 208-882-1289 Fax: 208-882-8406 |