Malya Bingham, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-3498 Issued in ID

Practice address

486 West 1St Ave
Glenns Ferry, ID 83623-0266

Phone

(208) 366-7416

Fax

(208) 366-2595

NPI assigned

Mar 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902936362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W MADISON AVE",
            "city": "GLENNS FERRY",
            "state": "ID",
            "postal_code": "836232364",
            "telephone_number": "208-366-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 WEST 1ST AVE",
            "city": "GLENNS FERRY",
            "state": "ID",
            "postal_code": "836230266",
            "telephone_number": "208-366-7416",
            "fax_number": "208-366-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "MALYA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-3498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF IDAHO #",
            "identifier": "000010156752",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO #",
            "identifier": "X6899",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO LICENSE #",
            "identifier": "LPC-3498",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anson Call DPT Inc (Glenns Ferry Physical Therapy)
• County of Elmor Consolidated Class a 192
• Juanita Alicia Garza
• Glenns Ferry Health Center Inc (Desert Sage Health Centers)
• Glenns Ferry Health Center, Inc.
• Carin Melissa Howard, PA-C

• Professional Counselor in Glenns Ferry, ID
• Providers in Glenns Ferry, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.