Jody Owens, MS, LCPC
Individual provider Active NPI Mental Health Counselor · Malad City, ID
NPI 1285850867 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1285850867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LCPC-3275 (ID)
- Practice address
- 20 N Main St Ste 10
Malad City, ID 83252-1281 - Phone
- (208) 317-6300
- Fax
- (208) 254-3386
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
20 N Main St
Suite 6
Malad City, ID 83252-1281
Phone (208) 766-7623
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 |
|---|---|---|---|---|
| I20240606003970 | ID | Practitioner - Mental Health Counselor | 9234505165 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-3275 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labyrinth Assessment & Behavioral Services PLLC | Mental Health | Current |
Accepting new patients |
| New Horizons Mental Wellness Clinics PLLC | Past | Accepting new patients |
Locations
20 N Main St
Ste 6
Malad City, ID 83252
Phone (208) 766-7623
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC-3275 | ID | Yes |
Addresses
Primary practice location
20 N Main St Ste 10
Malad City, ID 83252-1281
Mailing address
20 N Main St Ste 10
Malad City, ID 83252-1281
Phone (208) 317-6300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806997900 | Medicaid | ID |
Other providers in Malad City, ID
- Oneida County Hospital
- Oneida County Hospital
- Oneida Family Dental LLC
- Oneida School District
- Stephanie Jean Ostrom
- Edna Mae Palmer
- Ronald Eugene Perry
- James William Pickett
- Kelly Steven Piersanti
- PT Solutions Inc
All providers in Malad City, 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 Aug 19, 2022. 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.