| Tueller Counseling Inc | |
|
2275 W Broadway St Suite G Idaho Falls ID 83402-2902 | |
| (208) 524-7400 | |
| (208) 524-8004 |
| Full Name | Tueller Counseling Inc |
|---|---|
| Speciality | Counselor |
| Location | 2275 W Broadway St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Michelle Tueller (SECRETARY) |
| Authorized Official Contact | 2086041927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tueller Counseling Inc 2275 W Broadway St Suite G Idaho Falls ID 83402-2902 Ph: (208) 524-7400 | Tueller Counseling Inc 2275 W Broadway St Suite G Idaho Falls ID 83402-2902 Ph: (208) 524-7400 |
| NPI Number | 1477766905 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 10/08/2014 |
| Medicare PECOS PAC ID | 0547585895 |
|---|---|
| Medicare Enrollment ID | O20150210000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477766905 | NPI | - | NPPES |
| 806647500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LCSW859 (Idaho) | Primary |
| Provider Name | Ronald M Zohner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194833228 PECOS PAC ID: 0749326544 Enrollment ID: I20091008000339 |
| Provider Name | Kenneth S Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417049065 PECOS PAC ID: 6709921265 Enrollment ID: I20100308000996 |
| Provider Name | Thomas E Tueller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740321314 PECOS PAC ID: 5092030346 Enrollment ID: I20150210000241 |
| Provider Name | Megan H Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477977999 PECOS PAC ID: 9133435035 Enrollment ID: I20150908001282 |
| Provider Name | Jillian Mitki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710231436 PECOS PAC ID: 8527211754 Enrollment ID: I20170321002410 |
| Provider Name | Megan D Urick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477920007 PECOS PAC ID: 5092049965 Enrollment ID: I20190626002081 |
| Provider Name | Brittany L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558504688 PECOS PAC ID: 8022359967 Enrollment ID: I20191107000226 |
| Provider Name | Michele M Elsbree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376981134 PECOS PAC ID: 8820405434 Enrollment ID: I20210326002062 |
| Provider Name | Jonathan M Moses |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891353199 PECOS PAC ID: 6800274838 Enrollment ID: I20220603001654 |
| Provider Name | Cary W Schindler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902457898 PECOS PAC ID: 9032591029 Enrollment ID: I20220808002702 |
| Provider Name | Phillip B Hathaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316507296 PECOS PAC ID: 4284003757 Enrollment ID: I20221206002256 |
| Provider Name | Marisol R Angeles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417506478 PECOS PAC ID: 2567829633 Enrollment ID: I20230605002396 |
| Provider Name | Shawn Robert Israelsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629679048 PECOS PAC ID: 7214386473 Enrollment ID: I20231213001395 |
| Provider Name | Tina Maria Ricks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487091120 PECOS PAC ID: 1850740051 Enrollment ID: I20231213002646 |
| Provider Name | Bridget Gitthens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851173025 PECOS PAC ID: 4284085895 Enrollment ID: I20240108006269 |
| Provider Name | Kambria Reeves |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922742568 PECOS PAC ID: 3375994551 Enrollment ID: I20240111004904 |
| Provider Name | Morgan K Humphries |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245961572 PECOS PAC ID: 2466804539 Enrollment ID: I20240115001270 |
| Provider Name | Terri Dodge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134555626 PECOS PAC ID: 6103269006 Enrollment ID: I20240207003707 |
| Provider Name | Taylor L Red Elk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578115754 PECOS PAC ID: 8123463072 Enrollment ID: I20240229004659 |
| Provider Name | Steven Lee Terrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255922662 PECOS PAC ID: 3072951011 Enrollment ID: I20240409004651 |
| Provider Name | Daniel James Mcisaac |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710431242 PECOS PAC ID: 4284075334 Enrollment ID: I20240507004079 |
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 |