DANIELLA M MERZLOCK (NPI# 1194092486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194092486 |
| Entity Type | Individual |
| Full Name | DANIELLA M MERZLOCK |
| Credential | LPC |
| Practice Address |
4460 Central Way Ste 2 Chubbuck ID 83202 |
| Mailing Address |
Po Box 4908 Pocatello ID 83205-4908 |
| Practice Telephone | 2082371711 |
| Mailing Telephone | 2082371711 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-4867 | ID | Behavioral Health & Social Service Providers |
| Street Address |
4460 CENTRAL WAY STE 2 |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619015351 | James Rabe Nevala | Counselor | 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | 2007-02-02 |
| 1801221551 | Tanya E Burch | Counselor | 4460 Central Way, Chubbuck, ID 83202-5095 | 2013-09-12 |
| 1841637659 | Matthew T Harris | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2013-06-03 |
| 1992140214 | Candace L Barry | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2013-04-30 |
| 1861738478 | Tamara D Romriell | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2012-12-31 |
| 1528327939 | Greg Hunsaker | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2012-05-07 |
| 1831477744 | Douglas Aaron Klingler | Counselor | 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | 2011-07-26 |
| 1821387242 | John Hochhalter, Lpc | Community/Behavioral Health | 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | 2011-04-06 |
| 1518297985 | Whitney Warr | Counselor | 4460 Central Way, Chubbuck, ID 83202-5095 | 2010-01-07 |
| 1407180300 | Center Case Management and Dd Services LLC | Health Maintenance Organization | 4460 Central Way, Suite 4, Chubbuck, ID 83202-5095 | 2009-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1619015351 | James Rabe Nevala | Counselor | 4460 Central Way, Suite 2, Chubbuck, ID 83202-5095 | 2007-02-02 |
| 1831731215 | Jodie Lynn Barnes | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-10-17 |
| 1821650250 | William Clayton Riggs | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-07-06 |
| 1912562968 | Cynthia Louise Lange | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-05-06 |
| 1346708948 | Temoc Rafael Torres | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-03-04 |
| 1053707646 | Jade Letourneau | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2015-04-09 |
| 1841637659 | Matthew T Harris | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2013-06-03 |
| 1861738478 | Tamara D Romriell | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2012-12-31 |
| 1528327939 | Greg Hunsaker | Counselor | 4460 Central Way, Ste 2, Chubbuck, ID 83202-5095 | 2012-05-07 |
| Find all providers in CHUBBUCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.