MADELINE ROUSSEAU LCPC LMT NPI 1952813412

NPI Information

NPI: 1952813412
Provider Name: MADELINE ROUSSEAU, LCPC, LMT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
11224 W CARTRIDGE ST
BOISE, ID
ZIP 83713
Phone: (503) 423-7954
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Madeline Rousseau, LCPC, LMT is a mental health counselor in Boise, ID. Madeline Rousseau, LCPC, LMT NPI is 1952813412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11224 W CARTRIDGE ST
BOISE, ID
ZIP 83713-705
Phone: (503) 423-7954

The NPI 1952813412 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/24/2017 and was last updated on 4/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LCPC-9511	IDAHO	Yes
2	101YM0800X	Counselor	Mental Health	8158	IDAHO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9511	OTHER	IDAHO	IDAHO BOARD OF COUNSELORS
2	LPC-8158	OTHER	IDAHO	IDAHO BOARD OF COUNSELORS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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