Gina Marie Barragan, LPC
Individual provider Active NPI Mental Health Counselor · Boise, ID
NPI 1912450669 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1912450669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC-6200 (ID)
- Practice address
- 1276 W River St Ste 100
Boise, ID 83702-7083 - Phone
- (208) 338-4699
- Fax
- (208) 322-4722
- NPI assigned
- Jul 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Access Behavioral Health Services
Practice addresses (Care Compare)
1276 W River St
Suite 100
Boise, ID 83702-7083
Phone (208) 338-4699
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 |
|---|---|---|---|---|
| I20240122003941 | ID | Practitioner - Mental Health Counselor | 3678925989 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-6200 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Behavioral Health Services | Current | Accepting new patients | |
| Access Behavioral Health Services, Inc | Current |
Accepting new patients |
Locations
1276 W River St
Ste 100
Boise, ID 83702
Phone (208) 338-4699
3307 Caldwell Blvd
Ste 104
Nampa, ID 83651
Phone (208) 465-4833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-6200 | ID | Yes |
Addresses
Primary practice location
1276 W River St Ste 100
Boise, ID 83702-7083
Mailing address
613 N Stanley St
Boise, ID 83706-2029
Phone (208) 409-7499
Other practice location 1
8100 W Emerald St Ste 150
Boise, ID 83704-9057
Phone (208) 375-0752
Other names
- Gina Marie Watt
Other providers in Boise, ID
- Rachel E Barnhart-Hickmott
- Francis J Barnhart
- Diane Barnhill
- Timothy C Barningham
- Denae Barowsky
- Jennifer Barre
- Nita M Barrelier Verner
- Aubrey R Barrett
- Karen B. Barrett
- Paula K Barrett
All providers in Boise, 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 Jan 6, 2021. 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.