Joel Nielson, LCPC | |
524 Cleveland Blvd Ste 180, Caldwell, ID 83605-4076 | |
(208) 912-0892 | |
(208) 345-3502 |
Full Name | Joel Nielson |
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Gender | Male |
Speciality | Counselor |
Location | 524 Cleveland Blvd Ste 180, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497276216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LCPC-9039 (Idaho) | Primary |
Entity Name | Community Health Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309122 PECOS PAC ID: 4082527353 Enrollment ID: O20040130000055 |
Mailing Address | Practice Location Address |
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Joel Nielson, LCPC Po Box 9, Nampa, ID 83653-0009 Ph: (208) 467-4431 | Joel Nielson, LCPC 524 Cleveland Blvd Ste 180, Caldwell, ID 83605-4076 Ph: (208) 912-0892 |
Dia Michelle Rivers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15134 Greenwing St, Caldwell, ID 83607 Phone: 208-740-3372 | |
Mr. John K Bishop, LPC LICENSED PROFESS Counselor Medicare: Not Enrolled in Medicare Practice Location: 16226 Horizon Dr, Caldwell, ID 83607 Phone: 208-602-4680 Fax: 208-454-9770 | |
Ms. Lyndell Jackson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Blaine St, Caldwell, ID 83605 Phone: 208-880-6127 Fax: 208-455-6244 | |
Mrs. Wanda Lee Newton, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Main Street, Suite B, Caldwell, ID 83605 Phone: 208-454-2471 | |
Michelle Lynn Drinkwine, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 718 S 7th Ave, Caldwell, ID 83605 Phone: 208-454-1576 Fax: 208-454-9863 | |
Jennifer Padilla, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2005 Arlington Ave, Caldwell, ID 83605 Phone: 208-318-1362 Fax: 208-345-3502 | |
Mr. Rusty James Wattier, SUDA Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Dearborn St, Caldwell, ID 83605 Phone: 208-606-9494 |