Mr John D Stephenson, LCSW | |
1309 Camas St, Blackfoot, ID 83221-3060 | |
(208) 782-0675 | |
(208) 782-0678 |
Full Name | Mr John D Stephenson |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 1309 Camas St, Blackfoot, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528126158 | NPI | - | NPPES |
806939500 | Medicaid | ID | |
807352800 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCSW-26187 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stillwaters Counseling Llc | 2466412051 | 3 |
Entity Name | Stillwaters Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275638645 PECOS PAC ID: 2466412051 Enrollment ID: O20041020000373 |
Mailing Address | Practice Location Address |
---|---|
Mr John D Stephenson, LCSW Po Box 903, Blackfoot, ID 83221-0903 Ph: (208) 782-0675 | Mr John D Stephenson, LCSW 1309 Camas St, Blackfoot, ID 83221-3060 Ph: (208) 782-0675 |
Shayna Kearn Norton, LMFT, CADC Counselor Medicare: Medicare Enrolled Practice Location: 288 N Shilling Ave, Blackfoot, ID 83221 Phone: 208-785-1047 | |
Ms. Suzanne Godfrey, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Third Floor, Blackfoot, ID 83221 Phone: 208-785-3800 Fax: 208-785-3876 | |
Kimberley Sweet, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 East Alice Street, Blackfoot, ID 83221 Phone: 208-785-5874 | |
David Scott Hurst, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 Camas St, Blackfoot, ID 83221 Phone: 208-782-0678 | |
Dallen Ray Bell, LMSW Counselor Medicare: Medicare Enrolled Practice Location: 1309 Camas St, Blackfoot, ID 83221 Phone: 208-782-0675 Fax: 208-782-0678 | |
Mrs. Kathleen S Tomazin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 W Judicial St, Blackfoot, ID 83221 Phone: 208-782-2060 Fax: 208-782-0209 | |
Ruby Lee Walker, LPCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 |