Anna Rene Jungert, LCSW,CADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCSW-29069 Issued in ID

Practice address

1015 S Main Street
Riggins, ID 83549

Phone

(208) 816-6958

NPI assigned

Jan 12, 2012

Last updated

May 4, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Anna Rene Matney Former name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1114297744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 433",
            "address_2": "306 MAIN STREET #3",
            "city": "RIGGINS",
            "state": "ID",
            "postal_code": "835491483",
            "telephone_number": "208-816-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S MAIN STREET",
            "city": "RIGGINS",
            "state": "ID",
            "postal_code": "83549",
            "telephone_number": "208-816-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGERT",
        "first_name": "ANNA",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "LCSW,CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCSW-29069",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "2012-267",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCSW-29069",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-29069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "MATNEY",
            "middle_name": "RENE",
            "prefix": "MRS.",
            "credential": "LCSW, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Francis Brown, PA
• City of Riggins (City of Riggins Ambulance)
• David Roy Ferguson, LCPC
• Rachelle J. Hamell, NP
• Linnaea Hinton, NCTMB / LMT
• Cody Dean Killmar, PARAMEDIC
• Salmon River Ambulance District
• Salmon River School District 243

• Counselor in Riggins, ID
• Providers in Riggins, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.