| Kellie Humpherys, | |
|
8050 W Rifleman St # 100, Boise, ID 83704-9000 | |
| (208) 321-0634 | |
| (208) 321-1082 |
| Full Name | Kellie Humpherys |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 8050 W Rifleman St # 100, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629235353 | NPI | - | NPPES |
| 002803300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMSW1095 (Idaho) | Primary |
| Entity Name | All Horizons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285767574 PECOS PAC ID: 0345377958 Enrollment ID: O20100429000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Humpherys, 8050 W Rifleman St # 100, Boise, ID 83704-9000 Ph: (208) 321-0634 | Kellie Humpherys, 8050 W Rifleman St # 100, Boise, ID 83704-9000 Ph: (208) 321-0634 |
Roxanne L Pickerel, M.S., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Fort St, Boise, ID 83702 Phone: 208-841-8109 Fax: 208-203-1879 | |
Mrs. Mary Claire Fery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Orchard St Ste 128, Boise, ID 83705 Phone: 208-918-1283 | |
Rachel Marie Piazza Voight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1075 E Park Blvd, Boise, ID 83712 Phone: 208-381-5970 | |
Ms. Terri Turpin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1408 W Hays St, Boise, ID 83702 Phone: 208-429-5730 Fax: 208-336-7125 | |
Mr. Charles Edward Vollet, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Robert Street, Suite 101, Boise, ID 83705 Phone: 208-344-0844 Fax: 208-344-0592 | |
Debra Lynne Gallagher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 S Orchard St Ste 290, Boise, ID 83705 Phone: 208-343-2770 | |
Caitlin Hart, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 3350 W Americana Ter Ste 360-e, Boise, ID 83706 Phone: 208-503-1230 |