Nicte-Ha Banks
Individual provider Active NPI Mental Health Counselor · Chubbuck, ID
NPI 1700667441 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1700667441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LMSW-43874 (ID)
- Practice address
- 210 W Burnside Ave
Chubbuck, ID 83202-4916 - Phone
- (435) 705-3032
- NPI assigned
- Oct 9, 2023
- Sex
- Female
- 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 |
|---|---|---|---|
| LMSW-43874 | ID | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW-43874 | ID | Yes |
Addresses
Primary practice location
210 W Burnside Ave
Chubbuck, ID 83202-4916
Mailing address
210 W Burnside Ave Ste a
Chubbuck, ID 83202-4916
Other providers in Chubbuck, ID
- Drysten Bailey
- Baird Optical PC
- Michael L. Baird
- Staralee Baird
- James F Bakaitis
- Tarek Barbar
- Scott Robert Barlow
- Candace L Barry
- Kathryn Barry
- Jared Wesley Barton
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 Oct 9, 2023. 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.