James J Drake, LPC | |
1720 N Westgate Dr, Boise, ID 83704-7164 | |
(208) 501-3896 | |
(208) 334-0812 |
Full Name | James J Drake |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 1720 N Westgate Dr, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063752764 | NPI | - | NPPES |
1265565477 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPC-5225 (Idaho) | Primary |
Entity Name | Brookline Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881610244 PECOS PAC ID: 9032181433 Enrollment ID: O20040806000864 |
Mailing Address | Practice Location Address |
---|---|
James J Drake, LPC 6300 W Denton St, Boise, ID 83704-9326 Ph: (208) 577-4800 | James J Drake, LPC 1720 N Westgate Dr, Boise, ID 83704-7164 Ph: (208) 501-3896 |
Roxanne L Pickerel, M.S., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Fort St, Boise, ID 83702 Phone: 208-841-8109 Fax: 208-203-1879 | |
Mrs. Mary Claire Fery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Orchard St Ste 128, Boise, ID 83705 Phone: 208-918-1283 | |
Rachel Marie Piazza Voight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1075 E Park Blvd, Boise, ID 83712 Phone: 208-381-5970 | |
Ms. Terri Turpin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1408 W Hays St, Boise, ID 83702 Phone: 208-429-5730 Fax: 208-336-7125 | |
Mr. Charles Edward Vollet, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Robert Street, Suite 101, Boise, ID 83705 Phone: 208-344-0844 Fax: 208-344-0592 | |
Debra Lynne Gallagher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 S Orchard St Ste 290, Boise, ID 83705 Phone: 208-343-2770 | |
Caitlin Hart, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3350 W Americana Ter Ste 360-e, Boise, ID 83706 Phone: 208-503-1230 |