COLLEEN M GINGERICH (NPI# 1467572974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467572974 |
| Entity Type | Individual |
| Full Name | COLLEEN M GINGERICH |
| Credential | LPC |
| Practice Address |
47589 State Highway 78 Mountain Home ID 83647-5081 |
| Practice Telephone | 2088452868 |
| Mailing Telephone | 2088452868 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-3380 | ID | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | LSW-610 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LICENSED SOCIAL WORKER | LSW-610 | 01 |
| ID | LICENSED PROFESSIONAL COU | LPC-3380 | 01 |
| Street Address |
47589 STATE HIGHWAY 78 |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647-5081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
| Find all providers in zip 83647 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427458272 | Pamela Kate Morris | Counselor | 716 Arkansas Ave, Mountain Home, AR 72653-2202 | 2014-08-29 |
| 1023296886 | Matthew Sutton | Counselor | 1219 Commerce Dr, Suite 1, Mountain Home, AR 72653-2601 | 2008-02-04 |
| 1194845974 | William Michael Lawrence | Counselor | 235 N 3rd E, Mountain Home, ID 83647-2734 | 2007-03-29 |
| 1740305747 | Maxus Inc. | Counselor | 3348 Highway 62 W, Mountain Home, AR 72653-6544 | 2007-03-20 |
| 1104477512 | Frank Monasterio | Counselor | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 | 2019-09-26 |
| 1699328591 | Connie S Powers | Counselor | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 | 2019-07-19 |
| 1053888768 | Ariel R Nations | Counselor | 899 Burnett Dr, Mountain Home, AR 72653-2909 | 2018-10-31 |
| 1902372774 | Hometown Behavioral Health Services of Arkansas, Inc | Counselor | 353 E 8th St, Mountain Home, AR 72653-4423 | 2018-10-19 |
| 1568944494 | Inspirational Insight Counseling | Counselor | 706 S Main St Ste 2, Mountain Home, AR 72653-4458 | 2018-09-06 |
| 1972014975 | Robin Lee Sword | Counselor | 140 E 2nd N, Mountain Home, ID 83647-2711 | 2017-10-17 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
Please comment or provide details below to improve the information on COLLEEN M GINGERICH.
| 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.