CENTRAL IDAHO COUNSELING PLLC NPI 1275944498

NPI Information

NPI: 1275944498
Provider Name: CENTRAL IDAHO COUNSELING, PLLC
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
:
CLIA Number: 13D2214851
Address: 125 COMMERCE ST.
SUITE B
MCCALL, ID
ZIP 83638
Phone: (208) 634-2962

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NPI Details

CENTRAL IDAHO COUNSELING, PLLC is a mental health counselor in Mccall, ID. CENTRAL IDAHO COUNSELING, PLLC NPI is 1275944498. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

125 COMMERCE ST.
SUITE B
MCCALL, ID
ZIP 83638
Phone: (208) 634-2962
Fax: (208) 634-5064

The provider's authorized official is Eric A Mikkelsen .
The authorized official title is Owner/clinician and has the following contact phone number (208) 634-2962.

The CLIA number assigned to this NPI record is 13D2214851 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2014 and was last updated on 1/21/2025.

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			Yes

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	488228600C1	MEDICAID	IDAHO
2	20002621	OTHER	IDAHO	PROVIDER TRANSACTION ACCESS NUMBER

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: 11/21/2025

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