Lew House, LCPC
Individual provider Active NPI Professional Counselor · Middleton, ID
NPI 1558497487 · NPPES record last updated Oct 4, 2008
Key facts
- NPI
- 1558497487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LCPC 3822 (ID)
- Practice address
- 511 W Main St
Middleton, ID 83644-5545 - Phone
- (208) 697-1915
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC 3822 | ID | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC 3822 | ID | Yes |
Addresses
Primary practice location
511 W Main St
Middleton, ID 83644-5545
Mailing address
2678 S Stonehedge Dr
Nampa, ID 83686-1215
Phone (208) 697-1915
Other providers in Middleton, ID
- Rustin G Hawker
- Brian T Heaton
- Angela B Hemry
- Andrew Jason Hickman
- Stevielyn Danielle Hill
- Jonathan Read Hughes
- Alisha Hunt
- Autumn Hutchison
- Icare Supported Living, Inc.
- Jensen Chiropractic and Wellness PLLC
All providers in Middleton, 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 Oct 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.