MICHONNE PIEKSMA NPI 1407283393

NPI Information

  • NPI: 1407283393
  • Provider Name: MICHONNE PIEKSMA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2423 S GEORGIA AVE
    CALDWELL, ID
    ZIP 83605
  • Phone: (208) 455-1788

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NPI Details

Michonne Pieksma is an addiction (substance use disorder) counselor in Caldwell, ID. Michonne Pieksma NPI is 1407283393. 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:

2423 S GEORGIA AVE
CALDWELL, ID
ZIP 83605-477
Phone: (208) 455-1788
Fax: (208) 455-2044

The enumeration date for this NPI number is 10/9/2013 and was last updated on 10/9/2013.

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
1101YP2500XCounselorProfessionalLPC-5173IDAHONo
2101YA0400XCounselorAddiction (Substance Use Disorder)LPC-5173IDAHOYes

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
1LPC-5173MEDICAIDIDAHO

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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