Nichol A Boberg, MED, PCC-S | |
400 Lakeview Dr Unit 206, Wilder, KY 41071-5310 | |
(859) 816-7475 | |
Not Available |
Full Name | Nichol A Boberg |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 400 Lakeview Dr Unit 206, Wilder, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730487687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1268 (Kentucky) | Primary |
101YP2500X | Counselor - Professional | E.8044-SUPV (Ohio) | Secondary |
Entity Name | Talbert House |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619900834 PECOS PAC ID: 1951314319 Enrollment ID: O20060801000414 |
Mailing Address | Practice Location Address |
---|---|
Nichol A Boberg, MED, PCC-S 400 Lakeview Dr Unit 206, Wilder, KY 41071-5310 Ph: (859) 816-7475 | Nichol A Boberg, MED, PCC-S 400 Lakeview Dr Unit 206, Wilder, KY 41071-5310 Ph: (859) 816-7475 |
Mrs. Marjorie Appenfelder, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Moock Rd Ste 101, Wilder, KY 41071 Phone: 859-341-9333 | |
Akiko Marui, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 519 Licking Pike, Wilder, KY 41071 Phone: 859-572-0400 Fax: 859-442-3363 | |
Kelly J Clasgens, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 519 Licking Pike, Wilder, KY 41071 Phone: 859-572-0400 Fax: 859-442-3363 | |
Ms. Holly Ann Eary, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 519 Licking Pk, Wilder, KY 41071 Phone: 859-572-0400 | |
Ms. Sally J Sweeney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 519 Licking Pike, Suite 100, Wilder, KY 41071 Phone: 859-581-4273 Fax: 859-581-4273 | |
Lisa A Burger, M.ED, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Moock Rd Ste 101, Wilder, KY 41071 Phone: 859-341-9333 Fax: 859-341-9444 |