Mr Jeffrey D Wright, MA, NCC, LPC | |
112 12th Ave Rd, Nampa, ID 83686-5051 | |
(208) 465-5433 | |
(208) 466-5802 |
Full Name | Mr Jeffrey D Wright |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 112 12th Ave Rd, 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 |
---|---|---|---|
1043370141 | NPI | - | NPPES |
000010153421 | Other | ID | BLUE SHIELD OF IDAHO |
LCPC-4054 | Other | ID | IDAHO LCPC LICENSURE NUMBER |
LPC-3506 | Other | ID | IDAHO LPC LICENSURE NBR |
X6881 | Other | ID | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-3506 (Idaho) | Secondary |
101YP2500X | Counselor - Professional | LCPC-4054 (Idaho) | Primary |
Entity Name | Life Counseling Center Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841206604 PECOS PAC ID: 4385822493 Enrollment ID: O20110620000425 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey D Wright, MA, NCC, LPC 112 12th Ave Rd, Nampa, ID 83686-5011 Ph: (208) 250-4642 | Mr Jeffrey D Wright, MA, NCC, LPC 112 12th Ave Rd, Nampa, ID 83686-5051 Ph: (208) 465-5433 |
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 |