Nancy Bentley, LCPC
Individual provider Active NPI Mental Health Counselor · Chubbuck, ID
NPI 1013131366 · NPPES record last updated Feb 16, 2023
Key facts
- NPI
- 1013131366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LCPC 4707 (ID)
- Practice address
- 265 E Chubbuck Road
Chubbuck, ID 83202-5055 - Phone
- (208) 237-1711
- Fax
- (208) 237-9806
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center Counseling LLC
Practice addresses (Care Compare)
265 E Chubbuck Rd
Chubbuck, ID 83202-5055
Phone (208) 237-1711
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116002963 | ID | Practitioner - Mental Health Counselor | 5193177061 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC 4707 | ID | MD | Mental Health Counselor |
| LCPC- 4707 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Counseling, LLC | Mental Health | Current |
Accepting new patients |
Locations
265 E Chubbuck Rd
Chubbuck, ID 83202
Phone (208) 237-1711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC- 4707 | ID | |
| Mental Health Counselor | 101YM0800X | LCPC 4707 | ID | Yes |
Addresses
Primary practice location
265 E Chubbuck Road
Chubbuck, ID 83202-5055
Mailing address
265 E Chubbuck Road
Chubbuck, ID 83202-5055
Phone (208) 237-1711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807197600 | Medicaid | ID |
Other names
- Nancy Hensen
Other providers in Chubbuck, ID
- Samuel Welling Beckstead
- Belmont Management, Inc.
- Teresa K Belnap-Hazen
- Amy Belnap
- Brady Mead Belnap
- Kirsten Hansen Blair
- Kayla Judy Bohman
- Amy Bower
- Tammy Boyer
- Stephanie Lee Brannon
All providers in Chubbuck, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.