MALYA BINGHAM (NPI# 1902936362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902936362 |
| Entity Type | Individual |
| Full Name | MALYA BINGHAM |
| Credential | LPC |
| Practice Address |
486 West 1st Ave Glenns Ferry ID 83623-0266 |
| Mailing Address |
360 W Madison Ave Glenns Ferry ID 83623-2364 |
| Practice Telephone | 2083667416 |
| Practice Fax Number | 2083662595 |
| Mailing Telephone | 2083662185 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-3498 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUESHIELD OF IDAHO # | 000010156752 | 01 |
| ID | IDAHO LICENSE # | LPC-3498 | 01 |
| ID | BLUE CROSS OF IDAHO # | X6899 | 01 |
| Street Address |
486 WEST 1ST AVE |
| City | GLENNS FERRY |
| State | ID |
| Zip Code | 83623-0266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396875720 | John P Boothe | Physician Assistant | 486 West 1st Ave, Glenns Ferry, ID 83623 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263394 | Frances Hammons | Non-emergency Medical Transport (VAN) | 60 East 2nd Ave, Glenns Ferry, ID 83623 | 2018-01-26 |
| 1205348356 | Tnt Apothecary LLC | Pharmacy | 30 Idaho Ave, Glenns Ferry, ID 83623 | 2017-10-30 |
| 1629114939 | County of Elmor Consolidated Class A 192 | Local Education Agency (LEA) | 800 Old Hwy 30, Glenns Ferry, ID 83623 | 2007-01-30 |
| 1851604763 | Glenns Ferry Health Center, Inc. | Counselor | 486 West First Avenue, Glenns Ferry, ID 83623-0266 | 2010-07-20 |
| 1962654673 | Rachelle Alice Jaramillo | Physician Assistant | 486 W First St, Glenns Ferry, ID 83623-0266 | 2008-10-14 |
| 1871607523 | Mark Randall Ensminger | Family Medicine | 486 W First Ave, Glenns Ferry, ID 83623-0266 | 2006-08-19 |
| 1649441627 | John C Welch | General Practice | 486 W 1st Ave, Glenns Ferry, ID 83623-0266 | 2008-03-18 |
| 1376673137 | Glenns Ferry Health Center, Inc. | Clinic/Center | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 | 2007-03-07 |
| 1649828229 | Anson Call Dpt Inc | Clinic/Center | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 | 2019-08-28 |
| 1508339672 | Ridley's Family Markets Inc | Pharmacy | 486 W 1st Ave, Glenns Ferry, ID 83623-2701 | 2019-01-10 |
| Find all providers in zip 83623 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851604763 | Glenns Ferry Health Center, Inc. | Counselor | 486 West First Avenue, Glenns Ferry, ID 83623-0266 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1710592142 | Bruce F. Pagano II | Counselor | 1217 3rd St S Ste 103, Nampa, ID 83651-3917 | 2020-09-11 |
| 1881208056 | Cameron Cushing | Counselor | 3293 E Plympton Dr, Meridian, ID 83642-9019 | 2020-09-03 |
| 1689285892 | Jacob Santhouse | Counselor | 824 17th Ave S Ste 7, Nampa, ID 83651-4781 | 2020-08-11 |
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1669081311 | Catherine Leavitt | Counselor | 921 S 8th Ave # 8136, Pocatello, ID 83209-0002 | 2020-07-29 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1013535145 | Revitalize Consulting Group, Inc. | Counselor | 202 S Midland Blvd, Nampa, ID 83686-2602 | 2020-07-06 |
| 1427670314 | Richard Meyers | Counselor | 2052 Jennie Lee Dr Ste 2, Idaho Falls, ID 83404-7056 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
| City | GLENNS FERRY |
| Zip Code | 83623 |
Please comment or provide details below to improve the information on MALYA BINGHAM.
| 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.