Jacqueline Gingerich, L.P.C
Individual provider Active NPI Professional Counselor · Orofino, ID
NPI 1114339769 · NPPES record last updated Aug 5, 2026
Key facts
- NPI
- 1114339769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-5523 (ID)
- Practice address
- 416 Johnson Ave
Orofino, ID 83544-8501 - Phone
- (208) 790-2809
- Fax
- (877) 681-0420
- NPI assigned
- May 29, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13814 W 2ND Ave
Orofino, ID 83544-9109
416 Johnson Ave
Orofino, ID 83544-8501
Phone (208) 502-0894
416 Johnson Ave
Orofino, ID 83544-9516
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-5523 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing With Humor Counseling LLC | Current |
Accepting new patients | |
| A to Z Counseling, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-5523 | ID | Yes |
Addresses
Primary practice location
416 Johnson Ave
Orofino, ID 83544-8501
Mailing address
13814 W 2ND Ave
Orofino, ID 83544-9109
Phone (509) 780-1111
Other providers in Orofino, ID
- Fraun Flerchinger
- Douglas L Frank
- Shelly Frances Frayser
- Bryan A Garton
- Gentle Family Dentistry, P.C.
- Glenwood Pharmacy Inc
- Glenwood Pharmacy, Inc
- Donald W Goetsch
- James Douglas Gray
- Harper Chiropractic Clinic, Inc.
All providers in Orofino, ID · Professional 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 Aug 5, 2026. 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.