Emmett Counseling and Psychiatric Services, LLC
A Medicare group practice based in Emmett, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0749469468), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0749469468
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- ID
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20110127000575 | ID | Part B Supplier - Clinic/Group Practice | 1992007249 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Emmett Counseling and Psychiatric Services, LLC
- Community/Behavioral Health Agency
- Emmett, ID
- NPI 1992007249
-
Emmett Counseling and Psychiatric Services, LLC
dba Payette Counseling and Psychiatric Services
- Community/Behavioral Health Agency
- Payette, ID
- NPI 1972805224
Practice locations
- Payette, ID1
- Emmett, ID1
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (4).
-
Lawrence Estel Banta, M.D.
- Psychiatry Physician
- Caldwell, ID
- NPI 1568440295
-
Ashleigh Bars
- Nurse Practitioner
- Meridian, ID
- NPI 1356759948
-
Tracie Ann Bolen, LMSW
- Social Worker
- Caldwell, ID
- NPI 1487179172
-
Julie N Labernik-Fabela, LCSW
- Clinical Social Worker
- Boise, ID
- NPI 1376732933
-
Brad W Levitt, PSY.D
- Clinical Psychologist
- Payette, ID
- NPI 1174549075
-
Mandy Lynn Mitchell Hopwood, LCSW
- Clinical Social Worker
- Emmett, ID
- NPI 1518394006
-
Gail Lynne Robison, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Boise, ID
- NPI 1972876639
-
Jody A. Stark, NP
- Family Nurse Practitioner
- Ontario, OR
- NPI 1851472989
-
Shane Weideman
- Mental Health Counselor
- Emmett, ID
- NPI 1336697366
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.