| Mental Health Specialists | |
|
210 W Burnside Ave Suite A Chubbuck ID 83202-4916 | |
| (208) 238-9000 | |
| (208) 238-9002 |
| Full Name | Mental Health Specialists |
|---|---|
| Speciality | Social Worker |
| Location | 210 W Burnside Ave, Chubbuck, Idaho |
| Authorized Official Name and Position | Richard J Boyce (DIRECTOR) |
| Authorized Official Contact | 2082389000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Specialists 210 W Burnside Ave Suite A Chubbuck ID 83202-4916 Ph: (208) 238-9000 | Mental Health Specialists 210 W Burnside Ave Suite A Chubbuck ID 83202-4916 Ph: (208) 238-9000 |
| NPI Number | 1548585458 |
|---|---|
| Provider Enumeration Date | 04/02/2010 |
| Last Update Date | 06/28/2016 |
| Medicare PECOS PAC ID | 1658665427 |
|---|---|
| Medicare Enrollment ID | O20160802003169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548585458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-35369 (Idaho) | Primary |
| Provider Name | J'dee R Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598828816 PECOS PAC ID: 3779540497 Enrollment ID: I20041214001121 |
| Provider Name | Manuel A Sierra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861467375 PECOS PAC ID: 1759330343 Enrollment ID: I20090610000683 |
| Provider Name | Debra L Aubrey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063424448 PECOS PAC ID: 8022303544 Enrollment ID: I20160823002469 |
| Provider Name | Shellie M Waterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801335633 PECOS PAC ID: 3274899554 Enrollment ID: I20171102003390 |
| Provider Name | Kurt D Layton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336562412 PECOS PAC ID: 4587920947 Enrollment ID: I20171117001874 |
| Provider Name | Steven P Yerka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518259266 PECOS PAC ID: 2365662657 Enrollment ID: I20171129003709 |
| Provider Name | Staralee Baird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013344696 PECOS PAC ID: 4082971478 Enrollment ID: I20171206003136 |
| Provider Name | Richard J Boyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336309319 PECOS PAC ID: 6901190776 Enrollment ID: I20171219001887 |
| Provider Name | Kelly A Lind |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184176463 PECOS PAC ID: 9739414277 Enrollment ID: I20190705000625 |
| Provider Name | Spring Neihart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548999857 PECOS PAC ID: 5799159273 Enrollment ID: I20230323002988 |
| Provider Name | Suzanna Bird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942748199 PECOS PAC ID: 9133587645 Enrollment ID: I20230615000720 |
| Provider Name | Kenric G Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114540804 PECOS PAC ID: 9032579396 Enrollment ID: I20230718002486 |
| Provider Name | Joe A Andersen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629308671 PECOS PAC ID: 8628429222 Enrollment ID: I20240108005879 |
| Provider Name | Saeward J O'neill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275099251 PECOS PAC ID: 6507217148 Enrollment ID: I20240109001060 |
| Provider Name | Candice B Robbins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124710884 PECOS PAC ID: 0042663874 Enrollment ID: I20240129002544 |
| Provider Name | Stephanie Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285149732 PECOS PAC ID: 1951744416 Enrollment ID: I20240212003108 |
Joseph Martindale, Do,pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4460 Central Way, Suite 3, Chubbuck, ID 83202 Phone: 208-237-3612 | |
Center Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 265 East Chubbuck, Chubbuck, ID 83202 Phone: 208-406-3399 | |
Canvi Behavioral Health Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167 | |
Center Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
Seasons Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd, Chubbuck, ID 83202 Phone: 208-237-9833 Fax: 208-237-1800 | |
Childrens Supportive Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 Evans Ln, Chubbuck, ID 83202 Phone: 208-524-8996 Fax: 208-524-1205 | |
Seasons Of Hope, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd, Suite 3b, Chubbuck, ID 83202 Phone: 208-237-9833 Fax: 208-237-1800 |