| Behavioral Health Solutions Of Idaho | |
|
4477 W Emerald St Ste C100 Boise ID 83706-2058 | |
| (833) 719-0886 | |
| Not Available |
| Full Name | Behavioral Health Solutions Of Idaho |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4477 W Emerald St Ste C100, Boise, Idaho |
| Authorized Official Name and Position | Kristina Kovacs (OWNER) |
| Authorized Official Contact | 8337190886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Solutions Of Idaho 2200 Paseo Verde Pkwy Ste 190 Henderson NV 89052-2703 Ph: () - | Behavioral Health Solutions Of Idaho 4477 W Emerald St Ste C100 Boise ID 83706-2058 Ph: (833) 719-0886 |
| NPI Number | 1164286092 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/11/2024 |
| Medicare PECOS PAC ID | 7012453830 |
|---|---|
| Medicare Enrollment ID | O20240729001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164286092 | NPI | - | NPPES |
| Provider Name | Ninon M Germain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588705560 PECOS PAC ID: 7214996131 Enrollment ID: I20041006001251 |
| Provider Name | Duke M Nyarecha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235625914 PECOS PAC ID: 6406107093 Enrollment ID: I20180920001736 |
| Provider Name | Sara Joanne Mitchem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245947720 PECOS PAC ID: 1951772268 Enrollment ID: I20230125000333 |
| Provider Name | Rebecca Roth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104371293 PECOS PAC ID: 4183076441 Enrollment ID: I20240123000874 |
| Provider Name | Alyssa Peters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730602962 PECOS PAC ID: 7517319890 Enrollment ID: I20240123001674 |
| Provider Name | Anthony Quinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558621151 PECOS PAC ID: 0547489619 Enrollment ID: I20240329001398 |
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