| Bohnenkamp Behavioral Health | |
|
609 Bryden Ave Ste B Lewiston ID 83501-5193 | |
| (208) 553-3776 | |
| (208) 413-9976 |
| Full Name | Bohnenkamp Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 609 Bryden Ave Ste B, Lewiston, Idaho |
| Authorized Official Name and Position | Rebecca Ann Bohnenkamp (OWNER/CLINICIAN) |
| Authorized Official Contact | 2085533776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bohnenkamp Behavioral Health 609 Bryden Ave Ste B Lewiston ID 83501-5193 Ph: (208) 553-3776 | Bohnenkamp Behavioral Health 609 Bryden Ave Ste B Lewiston ID 83501-5193 Ph: (208) 553-3776 |
| NPI Number | 1982268553 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Medicare PECOS PAC ID | 2769716927 |
|---|---|
| Medicare Enrollment ID | O20190624000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982268553 | NPI | - | NPPES |
| LCSW-33391 | Other | ID | IDAHO BUREAU OF OCCUPATIONAL LICENSES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rebecca A Bohnenkamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063726826 PECOS PAC ID: 9931345030 Enrollment ID: I20130416000272 |
William R. Bozarth, M.d., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 6th St, Suite 102, Lewiston, ID 83501 Phone: 208-746-3320 Fax: 208-746-8717 | |
Serenity Treatment Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Main St Ste 101, Lewiston, ID 83501 Phone: 208-743-5906 Fax: 833-264-6643 | |
Ascendant Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Adams Ln, Lewiston, ID 83501 Phone: 208-310-9220 | |
Phillips Agency, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-746-7266 Fax: 208-798-5169 | |
Bruns Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 17th St, Lewiston, ID 83501 Phone: 208-746-3398 | |
Kristy Kuehfuss, Phd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843 | |
Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 F St, Lewiston, ID 83501 Phone: 208-799-4440 Fax: 208-799-5171 |