| Shannon Hurd, LPC | |
|
506 N 4th Ave, Sandpoint, ID 83864-1513 | |
| (208) 263-5394 | |
| Not Available |
| Full Name | Shannon Hurd |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 506 N 4th Ave, Sandpoint, 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 |
|---|---|---|---|
| 1689068793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-5498 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Wellness And Relationship Services Llc | 5092106443 | 8 |
| Counseling Coalition Llc | 3971030859 | 2 |
| Entity Name | Mental Wellness and Relationship Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932773363 PECOS PAC ID: 5092106443 Enrollment ID: O20211220002179 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Hurd, LPC 3761 Leclerc Rd S, Newport, WA 99156-9166 Ph: (208) 263-5393 | Shannon Hurd, LPC 506 N 4th Ave, Sandpoint, ID 83864-1513 Ph: (208) 263-5394 |
Ms. Krista N Haller, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 N 1st Ave Ste 203, Sandpoint, ID 83864 Phone: 208-946-5242 |
Erin Kathleen Gray, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Pine St Ste 2, Sandpoint, ID 83864 Phone: 208-263-7716 Fax: 208-263-7719 |
Jason Munzke, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 513 N 4th Ave, Sandpoint, ID 83864 Phone: 208-255-6803 Fax: 208-263-0951 |
Mary Mikell Zimmerman, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Airport Way, Bonner Business Center, Sandpoint, ID 83864 Phone: 208-597-3553 |
Mrs. Catherine Perusse, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Ontario St, Sandpoint, ID 83864 Phone: 208-265-6798 Fax: 208-263-8160 |
Mrs. Julie Ann Brusaw, MA LCPC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1035 Baldy Mountain Rd, Sandpoint, ID 83864 Phone: 208-255-9277 Fax: 208-255-1254 |
Jarae Swanstrom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1224 Washington Ave Ste 206, Sandpoint, ID 83864 Phone: 208-684-0512 |