| Madison Paulsen, LPC | |
|
1001 N 7th Ave Ste 115, Pocatello, ID 83201-5786 | |
| (208) 223-0240 | |
| Not Available |
| Full Name | Madison Paulsen |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1001 N 7th Ave Ste 115, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679315386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC-10475 (Idaho) | Primary |
| Entity Name | Behavioral Enhancement Services & Treatment LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457949539 PECOS PAC ID: 2567997349 Enrollment ID: O20241203002728 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Paulsen, LPC Po Box 2811, Idaho Falls, ID 83403-2811 Ph: Not Available | Madison Paulsen, LPC 1001 N 7th Ave Ste 115, Pocatello, ID 83201-5786 Ph: (208) 223-0240 |
Ms. Dedra Christine Sanna, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 |
Courtney Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Garrett Way, Ste 2, Pocatello, ID 83201 Phone: 208-233-7832 |
Lisa Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Pocatello, ID 83204 Phone: 208-232-8840 |
Ms. Rit Larae Nauman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3330 Highway 30 W, Pocatello, ID 83201 Phone: 208-234-9100 Fax: 208-234-9104 |
Mrs. Cassidy Michelle Roske, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035 |
Matthew R Christensen, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 5230 W Moonlight Mine Rd., Pocatello, ID 83201 Phone: 208-351-3956 |
Steven Peters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Garrett Way, Ste 2, Pocatello, ID 83201 Phone: 208-233-7832 |