Wild Life Community Counseling Pllc - Medicare Mental Health Clinic in Bonners Ferry, ID

Wild Life Community Counseling Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Bonners Ferry, Idaho. The current practice location for Wild Life Community Counseling Pllc is 264 Black Mountain Rd, Bonners Ferry, Idaho. For appointments, you can reach them via phone at (208) 416-3850. The mailing address for Wild Life Community Counseling Pllc is Po Box 172, Bonners Ferry, Idaho and phone number is (208) 416-3850.

Wild Life Community Counseling Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1699413757. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 416-3850.

Contact Information

Wild Life Community Counseling Pllc
264 Black Mountain Rd
Bonners Ferry
ID 83805-5308
(208) 416-3850
Not Available

Mental Health Clinic Profile

Full NameWild Life Community Counseling Pllc
SpecialitySocial Worker
Location264 Black Mountain Rd, Bonners Ferry, Idaho
Authorized Official Name and PositionDean Michael Jennings (LCSW)
Authorized Official Contact2084163850
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wild Life Community Counseling Pllc
Po Box 172
Bonners Ferry
ID 83805-0172

Ph: (208) 416-3850
Wild Life Community Counseling Pllc
264 Black Mountain Rd
Bonners Ferry
ID 83805-5308

Ph: (208) 416-3850

NPI Details:

NPI Number1699413757
Provider Enumeration Date05/26/2022
Last Update Date01/11/2023
Certification Date01/11/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4981068012
Medicare Enrollment IDO20230907004309

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› Verified 5 days ago

Medical Identifiers

Medical identifiers for Wild Life Community Counseling Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699413757NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wild Life Community Counseling Pllc acts as a billing entity for following providers:
Provider NameDean M Jennings
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831524537
PECOS PAC ID: 5092112045
Enrollment ID: I20210920000074

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Social Worker in Bonners Ferry, ID

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Phone: 208-946-3604    Fax: 208-267-1681
Playworks Counseling Center
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Medicare: Not Enrolled in Medicare
Practice Location: 7583 Main St, Hawkins House Healing Center, Bonners Ferry, ID 83805
Phone: 208-946-9572    Fax: 208-267-9020
Rachel Meiland Webster
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Medicare: Not Enrolled in Medicare
Practice Location: 6686 Augusta Bldg 100, Bonners Ferry, ID 83805
Phone: 208-946-0001    Fax: 208-267-1922
Sequel Alliance Family Services, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 6334 Main St, Bonners Ferry, ID 83805
Phone: 208-267-0780    Fax: 208-267-7941
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Medicare: Medicare Enrolled
Practice Location: 6807 Cody St, Bonners Ferry, ID 83805
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Sweetwater Counseling
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Practice Location: 6821 Main St Ste C, Bonners Ferry, ID 83805
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