| Osprey Counseling | |
|
5503 W Kendall St Boise ID 83706-1240 | |
| (208) 912-7362 | |
| (208) 738-5858 |
| Full Name | Osprey Counseling |
|---|---|
| Speciality | Counselor |
| Location | 5503 W Kendall St, Boise, Idaho |
| Authorized Official Name and Position | Abigail Green (OFFICE MANAGER) |
| Authorized Official Contact | 2089127362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osprey Counseling 1111 S Orchard St Ste 168 Boise ID 83705-1977 Ph: (208) 912-7362 | Osprey Counseling 5503 W Kendall St Boise ID 83706-1240 Ph: (208) 912-7362 |
| NPI Number | 1427755420 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 3173984192 |
|---|---|
| Medicare Enrollment ID | O20230807001624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427755420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brian H Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922133719 PECOS PAC ID: 7416001813 Enrollment ID: I20090819000840 |
| Provider Name | Mark Caldwell Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770273534 PECOS PAC ID: 7618328881 Enrollment ID: I20240111004579 |
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