| Ostermiller Counseling Services Inc. | |
|
242 E 7th N Ste 4 Rexburg ID 83440-3550 | |
| (208) 359-9683 | |
| (208) 359-9683 |
| Full Name | Ostermiller Counseling Services Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 242 E 7th N Ste 4, Rexburg, Idaho |
| Authorized Official Name and Position | Jared Ryan Ostermiller (OWNER MANAGER) |
| Authorized Official Contact | 2083599683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ostermiller Counseling Services Inc. 242 E 7th N Ste 4 Rexburg ID 83440-3550 Ph: (208) 359-9683 | Ostermiller Counseling Services Inc. 242 E 7th N Ste 4 Rexburg ID 83440-3550 Ph: (208) 359-9683 |
| NPI Number | 1639292626 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 03/16/2021 |
| Certification Date | 09/11/2020 |
| Medicare PECOS PAC ID | 3476896911 |
|---|---|
| Medicare Enrollment ID | O20190523002523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639292626 | NPI | - | NPPES |
| 806530400 | Medicaid | ID | |
| 8J059 | Other | ID | BLUE CROSS GROUP NUMBER |
| 806867300 | Medicaid | ID | |
| 000010151377 | Other | ID | BLUE SHIELD GROUP # |
| Provider Name | Jared Ryan Ostermiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760505747 PECOS PAC ID: 1557604006 Enrollment ID: I20190523002700 |
| Provider Name | Jordon R Ostermiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730643008 PECOS PAC ID: 0446760052 Enrollment ID: I20250611002660 |
| Provider Name | Mark Edward Hobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669923942 PECOS PAC ID: 8022528538 Enrollment ID: I20250612000944 |
| Provider Name | Bruce Spencer Thueson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578217915 PECOS PAC ID: 0749790285 Enrollment ID: I20250612001020 |
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