| Kendyl Kissell, LCPC | |
|
919 W Canfield Ave, Coeur D Alene, ID 83815-9764 | |
| (208) 758-0560 | |
| Not Available |
| Full Name | Kendyl Kissell |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 919 W Canfield Ave, 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 |
|---|---|---|---|
| 1073283461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 9201 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Active Family Healthcare Pllc | 7315162237 | 4 |
| Entity Name | Active Family Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063764462 PECOS PAC ID: 7315162237 Enrollment ID: O20140709003055 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendyl Kissell, LCPC 919 W Canfield Ave, Coeur D Alene, ID 83815-9764 Ph: (208) 758-0560 | Kendyl Kissell, LCPC 919 W Canfield Ave, Coeur D Alene, ID 83815-9764 Ph: (208) 758-0560 |
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 |