| Jim Wayne Trivelpiece, LMC | |
|
340 Ne Maple St, Pullman, WA 99163-4120 | |
| (509) 334-1133 | |
| (509) 332-1608 |
| Full Name | Jim Wayne Trivelpiece |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 340 Ne Maple St, Pullman, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184956104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00007125 (Washington) | Primary |
| Entity Name | Palouse River Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063486272 PECOS PAC ID: 5698768331 Enrollment ID: O20040407000660 |
| Mailing Address | Practice Location Address |
|---|---|
| Jim Wayne Trivelpiece, LMC 340 Ne Maple St, Pullman, WA 99163-4120 Ph: (509) 334-1133 | Jim Wayne Trivelpiece, LMC 340 Ne Maple St, Pullman, WA 99163-4120 Ph: (509) 334-1133 |
Shane Randal Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Ne Maple St, Pullman, WA 99163 Phone: 509-334-1133 | |
Jessica Joy Billings, LMHC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Ne Maple St, Pullman, WA 99163 Phone: 506-334-1133 | |
Michelle Kathleen Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Ne Maple St, Pullman, WA 99163 Phone: 509-334-1133 Fax: 509-332-1608 | |
Arielle Webb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Ne Maple St, Pullman, WA 99163 Phone: 509-334-1133 Fax: 509-332-1608 | |
Cheyenne Cochran, Counselor Medicare: Not Enrolled in Medicare Practice Location: 254 E Main St Ste 226, Pullman, WA 99163 Phone: 208-820-8513 | |
Alex Little, MHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1234 S Grand Ave, Pullman, WA 99163 Phone: 509-553-9447 | |
Janay Maldonado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Ne Maple St, Pullman, WA 99163 Phone: 509-334-1133 |