Mr Cody William Redd Johnson, LPC, NCC | |
156 Mcclure Ave, Nampa, ID 83651-2025 | |
(208) 323-9600 | |
(208) 466-5359 |
Full Name | Mr Cody William Redd Johnson |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 156 Mcclure Ave, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457854044 | NPI | - | NPPES |
LPC-6773 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LCPC-10144 (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 |
---|---|
Mr Cody William Redd Johnson, LPC, NCC Po Box 9, Nampa, ID 83653-0009 Ph: (208) 467-4431 | Mr Cody William Redd Johnson, LPC, NCC 156 Mcclure Ave, Nampa, ID 83651-2025 Ph: (208) 323-9600 |
Christy Noel Meyer-heinzman, MFT INTERN ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 10th Ave S, Nampa, ID 83651 Phone: 208-468-0850 | |
Lara Leigh Vick-erickson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1009 W Hemingway Blvd, Nampa, ID 83651 Phone: 208-453-8915 | |
Breonna V Krafft-harris, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 11th Ave S, Nampa, ID 83651 Phone: 208-371-9090 | |
Jacqueline W Sabo, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Wildflower Counseling, Llc, 104 9th Ave S Ste B2, Nampa, ID 83651 Phone: 208-993-0559 | |
Rebekkah Anne Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1031 W Sanetta St, Nampa, ID 83651 Phone: 208-466-7443 | |
Amber Miller, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-318-1391 | |
Kimberly Opal Ledwa, LCPC, ACADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17678 Dark Zebra Way, Nampa, ID 83687 Phone: 208-880-3785 |