| Teton Counseling Center Inc | |
|
615 Hoopes Ave Idaho Falls ID 83401-6106 | |
| (208) 542-0352 | |
| Not Available |
| Full Name | Teton Counseling Center Inc |
|---|---|
| Speciality | Social Worker |
| Location | 615 Hoopes Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Travis K. Bybee (PRESIDENT) |
| Authorized Official Contact | 2085420352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teton Counseling Center Inc 615 Hoopes Ave Idaho Falls ID 83401-6106 Ph: (208) 542-0352 | Teton Counseling Center Inc 615 Hoopes Ave Idaho Falls ID 83401-6106 Ph: (208) 542-0352 |
| NPI Number | 1518097690 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Medicare PECOS PAC ID | 3274967336 |
|---|---|
| Medicare Enrollment ID | O20191223001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518097690 | NPI | - | NPPES |
| 807315400 | Medicaid | ID | |
| 807336800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LCSW-26094 (Idaho) | Primary |
| Provider Name | Travis Kurt Bybee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821299280 PECOS PAC ID: 4183058241 Enrollment ID: I20191223001846 |
Sullivan Mental Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-523-1558 Fax: 208-529-4788 | |
Youth And Family Renewal Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2935 Rollandet St, Idaho Falls, ID 83402 Phone: 208-542-2905 Fax: 208-522-2427 | |
Independence, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 N Skyline Dr, Ste. A, Idaho Falls, ID 83402 Phone: 208-524-0881 Fax: 208-524-0886 | |
Life Quest Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 1st St, Idaho Falls, ID 83401 Phone: 208-529-2920 | |
Access Point Family Sevices Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 Channing Way, Idaho Falls, ID 83404 Phone: 208-522-4026 Fax: 208-522-4138 | |
Integrated Family & Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3355 S Holmes Ave, Idaho Falls, ID 83404 Phone: 208-523-2080 Fax: 208-523-2799 | |
Childrens Supportive Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1565 E Lincoln Rd, Idaho Falls, ID 83401 Phone: 208-524-8996 Fax: 208-524-1205 |