| Mrs Rosemary Ladacy Luque, LCPC | |
|
4172 N Creswell Way, Boise, ID 83713-2403 | |
| (208) 863-1404 | |
| (833) 340-7217 |
| Full Name | Mrs Rosemary Ladacy Luque |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 23 Years |
| Location | 4172 N Creswell Way, Boise, 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 |
|---|---|---|---|
| 1245225879 | NPI | - | NPPES |
| 000010140465 | Other | ID | REGENCE BLUESHIELD ID # |
| 200000062851 | Other | ID | BLUE CROSS OF IDAHO |
| 7365212 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-2773 (Idaho) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCPC3480 (Idaho) | Primary |
| Entity Name | Creswell Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962263897 PECOS PAC ID: 3971943754 Enrollment ID: O20240426000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rosemary Ladacy Luque, LCPC 4172 N Creswell Way, Boise, ID 83713-2403 Ph: (208) 863-1404 | Mrs Rosemary Ladacy Luque, LCPC 4172 N Creswell Way, Boise, ID 83713-2403 Ph: (208) 863-1404 |
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 |