| Diana G Wasser, LPC | |
|
9850 W St Lukes Dr, Nampa, ID 83687-7912 | |
| (208) 505-2222 | |
| (208) 453-4255 |
| Full Name | Diana G Wasser |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 18 Years |
| Location | 9850 W St Lukes Dr, Nampa, 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 |
|---|---|---|---|
| 1265680334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-6023 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Nampa Medical Center | Nampa, 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 |
|---|---|
| Diana G Wasser, LPC 1762 N Todd Way, Meridian, ID 83646-1205 Ph: (208) 949-1374 | Diana G Wasser, LPC 9850 W St Lukes Dr, Nampa, ID 83687-7912 Ph: (208) 505-2222 |
Christy Noel Meyer-heinzman, MFT INTERN ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 10th Ave S, Nampa, ID 83651 Phone: 208-468-0850 | |
Lara Leigh Vick-erickson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1009 W Hemingway Blvd, Nampa, ID 83651 Phone: 208-453-8915 | |
Breonna V Krafft-harris, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 11th Ave S, Nampa, ID 83651 Phone: 208-371-9090 | |
Jacqueline W Sabo, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Wildflower Counseling, Llc, 104 9th Ave S Ste B2, Nampa, ID 83651 Phone: 208-993-0559 | |
Rebekkah Anne Brown, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1031 W Sanetta St, Nampa, ID 83651 Phone: 208-466-7443 | |
Amber Miller, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-318-1391 | |
Kimberly Opal Ledwa, LCPC, ACADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17678 Dark Zebra Way, Nampa, ID 83687 Phone: 208-880-3785 |