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MR. JUSTIN DEAN ZIERKE LCPC NCC ACADC NPI 1497081681


NPI Information

NPI: 1497081681
Provider Name: MR. JUSTIN DEAN ZIERKE, LCPC, NCC, ACADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1070 HILINE RD STE 210
POCATELLO, ID
ZIP 83201
Phone: (208) 821-1384
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MR. Justin Dean Zierke, LCPC, NCC, ACADC is a mental health counselor in Pocatello, ID. MR. Justin Dean Zierke, LCPC, NCC, ACADC NPI is 1497081681. 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:

1070 HILINE RD STE 210
POCATELLO, ID
ZIP 83201-947
Phone: (208) 821-1384
Fax: (208) 478-4999

The enumeration date for this NPI number is 10/23/2009 and was last updated on 12/14/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)160IDAHONo
2101YA0400XCounselorAddiction (Substance Use Disorder)205596IDAHONo
3101YM0800XCounselorMental HealthLCPC-4875IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11497081681MEDICAIDIDAHO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.