| Dr Russell Paul Adams, PH,D | |
| 
					8675 W Ardene St, Boise, ID 83709-2601  | |
| (208) 780-3900 | |
| (208) 375-2882 | 
| Full Name | Dr Russell Paul Adams | 
|---|---|
| Gender | Male | 
| Speciality | Marriage & Family Therapist | 
| Location | 8675 W Ardene St, Boise, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164841474 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT-6742 (Idaho) | Primary | 
| Entity Name | Lifepath Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477920270 PECOS PAC ID: 9638487515 Enrollment ID: O20150925000838  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Russell Paul Adams, PH,D 8675 W Ardene St, Boise, ID 83709-2601 Ph: (208) 780-3900  | Dr Russell Paul Adams, PH,D 8675 W Ardene St, Boise, ID 83709-2601 Ph: (208) 780-3900  | 
Mr. Sean J Nixon, LCPC, LMFT, NCC Couples Therapy Medicare: Medicare Enrolled Practice Location: 1655 W Fairview Ave, Suite 115, Boise, ID 83702 Phone: 208-515-7661 Fax: 208-515-7661  | |
James Sam Calderhead, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5966 N Bagley Ave, Boise, ID 83703 Phone: 208-631-2040  | |
Dr. Carla Jensen, PHD, LCSW MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 198 S Old Quarry Way, Boise, ID 83709 Phone: 208-914-0877 Fax: 208-321-2773  | |
Marcy Lynn Humphrey, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1524 W Hays St Ste 201, Boise, ID 83702 Phone: 208-481-8546  | |
Patricia R Heeb, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6140 W Emerald St, Boise, ID 83704 Phone: 208-367-6216 Fax: 208-367-3308  | |
Marci M Danielson, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3350 W Americana Ter, Suite 215, Boise, ID 83706 Phone: 208-989-0333  | |
Rebekah Anne Mclean, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2995 N Cole Rd Ste 225, Boise, ID 83704 Phone: 208-614-0588 Fax: 208-203-7432  |