| Naseem Khericha, | |
|
1904 Jennie Lee Dr, Idaho Falls, ID 83404-6159 | |
| (208) 974-5200 | |
| Not Available |
| Full Name | Naseem Khericha |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1904 Jennie Lee Dr, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154519619 | NPI | - | NPPES |
| LCPC | Other | ID | IDOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC (Idaho) | Primary |
| Entity Name | Luke & Spencer Behavioral Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427834571 PECOS PAC ID: 5092167940 Enrollment ID: O20240117000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Naseem Khericha, Po Box 4285, Pocatello, ID 83205-4285 Ph: (208) 552-0850 | Naseem Khericha, 1904 Jennie Lee Dr, Idaho Falls, ID 83404-6159 Ph: (208) 974-5200 |
Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352 | |
Kelsey Lynn Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401 Phone: 208-524-4818 Fax: 208-522-6630 | |
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447 | |
Mckenzie Leigh Duncan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1262 E 17th St, Idaho Falls, ID 83404 Phone: 208-346-0688 Fax: 208-620-3027 | |
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934 | |
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712 | |
Jennie R Nelson, Counselor Medicare: Medicare Enrolled Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727 |