| Noble Intent | |
|
1406 N Main St Ste 204 Meridian ID 83642-1746 | |
| (208) 899-2227 | |
| Not Available |
| Full Name | Noble Intent |
|---|---|
| Speciality | Clinic/Center |
| Location | 1406 N Main St Ste 204, Meridian, Idaho |
| Authorized Official Name and Position | Jena Kathleen Schildhauer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2088992227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noble Intent 1406 N Main St Ste 204 Meridian ID 83642-1746 Ph: (208) 899-2227 | Noble Intent 1406 N Main St Ste 204 Meridian ID 83642-1746 Ph: (208) 899-2227 |
| NPI Number | 1174155741 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Medicare PECOS PAC ID | 2668837675 |
|---|---|
| Medicare Enrollment ID | O20230426002357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174155741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jena K Schildhauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447675244 PECOS PAC ID: 9638424005 Enrollment ID: I20180626003089 |
| Provider Name | Emily Jo Maupin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861067860 PECOS PAC ID: 0648620211 Enrollment ID: I20231221003470 |
| Provider Name | Madeline Rousseau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952813412 PECOS PAC ID: 8729431887 Enrollment ID: I20240125001961 |
| Provider Name | Jessica Erin Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992428445 PECOS PAC ID: 9537507389 Enrollment ID: I20240329001739 |
| Provider Name | Shiloh Aaron Emmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144906298 PECOS PAC ID: 8628417854 Enrollment ID: I20240419002058 |
| Provider Name | Krystin Newman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558045419 PECOS PAC ID: 8820437007 Enrollment ID: I20240421000022 |
| Provider Name | Zachary Horrocks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013427319 PECOS PAC ID: 8325488372 Enrollment ID: I20240424003820 |
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