| Nicole Diana Madill-klupenger, LCPC 6404 | |
|
687 Camp Nine Rd, Bonners Ferry, ID 83805-5074 | |
| (541) 314-5734 | |
| Not Available |
| Full Name | Nicole Diana Madill-klupenger |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 687 Camp Nine Rd, Bonners Ferry, Idaho |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366990996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-6404 (Idaho) | Primary |
| 101YP2500X | Counselor - Professional | LPC5539 (Idaho) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rawlings Community Counseling | 8820222086 | 4 |
| Entity Name | Rawlings Community Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245528082 PECOS PAC ID: 8820222086 Enrollment ID: O20131002000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Diana Madill-klupenger, LCPC 6404 687 Camp Nine Rd, Bonners Ferry, ID 83805-5074 Ph: (541) 314-5734 | Nicole Diana Madill-klupenger, LCPC 6404 687 Camp Nine Rd, Bonners Ferry, ID 83805-5074 Ph: (541) 314-5734 |
Rachel Nicole Nabors, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6807 Cody St, Bonners Ferry, ID 83805 Phone: 208-267-0900 Fax: 208-267-6100 | |
Mona Kim-brown, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Jeffrey Mcdowell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6807 Cody St, Bonners Ferry, ID 83805 Phone: 208-267-0900 Fax: 208-267-6100 | |
Andrea Jelinek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6807 Cody St, Bonners Ferry, ID 83805 Phone: 208-267-0900 Fax: 208-267-6100 | |
Mrs. Denys Taipale-knight, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 385 Moose Ridge Lane, Bonners Ferry, ID 83805 Phone: 208-267-7607 | |
Aaron Christopher Morgen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6426 Kootenai St, Suite 103, Bonners Ferry, ID 83805 Phone: 208-745-2700 Fax: 208-598-7990 |