| Jody Owens, MS, LCPC | |
|
20 N Main St Ste 10, Malad City, ID 83252-1281 | |
| (208) 317-6300 | |
| (208) 254-3386 |
| Full Name | Jody Owens |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 20 N Main St Ste 10, Malad City, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285850867 | NPI | - | NPPES |
| 806997900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-3275 (Idaho) | Primary |
| Entity Name | Labyrinth Assessment & Behavioral Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013494301 PECOS PAC ID: 4880060714 Enrollment ID: O20221018002946 |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Owens, MS, LCPC 20 N Main St Ste 10, Malad City, ID 83252-1281 Ph: (208) 317-6300 | Jody Owens, MS, LCPC 20 N Main St Ste 10, Malad City, ID 83252-1281 Ph: (208) 317-6300 |
Kelly Steven Piersanti, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 N Main St, Malad City, ID 83252 Phone: 208-766-2389 | |
Nicole Daniels, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 148 E 50 S Ste 2, Malad City, ID 83252 Phone: 208-609-3010 | |
Heidi Marie Napier, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W 700 N, Malad City, ID 83252 Phone: 208-226-6393 | |
Ronda Sue Schaeffer, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 N Main St Ste 6, Malad City, ID 83252 Phone: 208-766-7623 Fax: 833-821-3013 | |
Alexa Edwards, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 E 50 S, Malad City, ID 83252 Phone: 208-766-2365 Fax: 208-766-2364 |