| Behavioral Health Solutions Of Idaho | |
|
4477 W Emerald St Ste C100 Boise ID 83706-2058 | |
| (833) 719-0886 | |
| Not Available |
| Full Name | Behavioral Health Solutions Of Idaho |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4477 W Emerald St Ste C100, Boise, Idaho |
| Authorized Official Name and Position | Kristina Kovacs (OWNER) |
| Authorized Official Contact | 8337190886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Solutions Of Idaho 2200 Paseo Verde Pkwy Ste 190 Henderson NV 89052-2703 Ph: () - | Behavioral Health Solutions Of Idaho 4477 W Emerald St Ste C100 Boise ID 83706-2058 Ph: (833) 719-0886 |
| NPI Number | 1164286092 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/11/2024 |
| Medicare PECOS PAC ID | 7012453830 |
|---|---|
| Medicare Enrollment ID | O20240729001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164286092 | NPI | - | NPPES |
| Provider Name | Ninon M Germain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588705560 PECOS PAC ID: 7214996131 Enrollment ID: I20041006001251 |
| Provider Name | Duke M Nyarecha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235625914 PECOS PAC ID: 6406107093 Enrollment ID: I20180920001736 |
| Provider Name | Lynnette M Khandaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396292421 PECOS PAC ID: 8123307105 Enrollment ID: I20190625001979 |
| Provider Name | Earl Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114402450 PECOS PAC ID: 7810236361 Enrollment ID: I20200120000241 |
| Provider Name | Shana May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114699287 PECOS PAC ID: 1153710629 Enrollment ID: I20211123001131 |
| Provider Name | Meredith Ashley Sievers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265157531 PECOS PAC ID: 0840660015 Enrollment ID: I20230104001331 |
| Provider Name | Sara Joanne Mitchem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245947720 PECOS PAC ID: 1951772268 Enrollment ID: I20230125000333 |
| Provider Name | Rebecca Roth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104371293 PECOS PAC ID: 4183076441 Enrollment ID: I20240123000874 |
| Provider Name | Alyssa Peters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730602962 PECOS PAC ID: 7517319890 Enrollment ID: I20240123001674 |
| Provider Name | Ki Benjamin Kurtz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194088591 PECOS PAC ID: 8022309038 Enrollment ID: I20240306002864 |
| Provider Name | Anthony Quinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558621151 PECOS PAC ID: 0547489619 Enrollment ID: I20240329001398 |
| Provider Name | Keith James Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134904949 PECOS PAC ID: 8426497140 Enrollment ID: I20240415001799 |
| Provider Name | Veronica M Grimaldo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720799612 PECOS PAC ID: 4587109152 Enrollment ID: I20240709000507 |
| Provider Name | Amy Ives |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629627948 PECOS PAC ID: 0042756520 Enrollment ID: I20240719002821 |
| Provider Name | Tiffany Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245918093 PECOS PAC ID: 2860925229 Enrollment ID: I20241024001359 |
| Provider Name | Marty T. Cooke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831246594 PECOS PAC ID: 1355861873 Enrollment ID: I20250226003621 |
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Cda Solution Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10080 W Smoke Ranch Dr, Boise, ID 83709 Phone: 208-703-6004 | |
Commonplace Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 W Bannock St, Boise, ID 83702 Phone: 208-906-5878 | |
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