RODNEY KANIKKEBERG NPI 1417308495

NPI Information

  • NPI: 1417308495
  • Provider Name: RODNEY KANIKKEBERG
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 317 W 6TH ST
    STE 208
    MOSCOW, ID
    ZIP 83843
  • Phone: (208) 882-3504

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NPI Details

Rodney Kanikkeberg is a mental health counselor in Moscow, ID. Rodney Kanikkeberg NPI is 1417308495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

317 W 6TH ST
STE 208
MOSCOW, ID
ZIP 83843-321
Phone: (208) 882-3504
Fax: (208) 882-3572

The enumeration date for this NPI number is 6/30/2016 and was last updated on 6/30/2016.

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
1101YM0800XCounselorMental HealthLPC-6234IDAHOYes

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

NPI Synchronization or Removal

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