| Colleen Patterson, | |
|
1038 Northwest Blvd Ste 100, Coeur D Alene, ID 83814-2249 | |
| (727) 800-2332 | |
| (727) 800-2333 |
| Full Name | Colleen Patterson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 1038 Northwest Blvd Ste 100, Coeur D Alene, 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 |
|---|---|---|---|
| 1770250201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-7787 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ambitions Of Idaho Inc | 6305121328 | 5 |
| Entity Name | Ambitions Of Idaho Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003145533 PECOS PAC ID: 6305121328 Enrollment ID: O20170314000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Patterson, 1044 Northwest Blvd Ste F, Coeur D Alene, ID 83814-2165 Ph: (727) 800-2332 | Colleen Patterson, 1038 Northwest Blvd Ste 100, Coeur D Alene, ID 83814-2249 Ph: (727) 800-2332 |
Joshua Michael Raybell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 N Ironwood Pkwy Ste 222, Coeur D Alene, ID 83814 Phone: 208-964-6510 | |
Martina Folowell Nix, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3700 W Seltice Way, Coeur D Alene, ID 83814 Phone: 208-620-5255 Fax: 833-428-5578 | |
Dr. Billie Jo Davis, PH.D., BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Ironwood Dr., Suite D Pmd 106, Coeur D Alene, ID 83815 Phone: 208-699-2595 | |
Kelly Mitchell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1022 N 4th St Ste 101, Coeur D Alene, ID 83814 Phone: 208-457-2909 | |
Mrs. Jacqueline Lee Butera, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 W Ironwood Dr, Suite 101, Coeur D Alene, ID 83814 Phone: 208-664-9729 Fax: 208-263-7515 | |
Mrs. Danielle Nichole Kisler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7905 N Meadowlark Way, Ste A And B, Coeur D Alene, ID 83815 Phone: 208-691-2048 | |
Haley Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 N Lakewood Dr Ste 225, Coeur D Alene, ID 83814 Phone: 775-224-4996 |