NICOLE BERENGER COUNSELING LLC NPI 1336892686

NPI Information

NPI: 1336892686
Provider Name: NICOLE BERENGER COUNSELING LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4346 W ROSE HILL ST STE C
BOISE, ID
ZIP 83705
Phone: (208) 963-8132
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NICOLE BERENGER COUNSELING LLC is a professional counselor in Boise, ID. NICOLE BERENGER COUNSELING LLC NPI is 1336892686. The provider is registered as an organization entity type.

The provider's business location address is:

4346 W ROSE HILL ST STE C
BOISE, ID
ZIP 83705-193
Phone: (208) 963-8132
Fax: (208) 203-0942

The provider's authorized official is Nicole Berenger .
The authorized official title is Lcpc and has the following contact phone number (208) 963-8132.

The enumeration date for this NPI number is 1/27/2022 and was last updated on 10/28/2022.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	101YP2500X	Counselor	Professional			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	1285128124	MEDICAID	IDAHO

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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