Kendra Jean Nielson
Counselor, Mental Health in Meridian, ID. Individual provider (NPI-1).
NPI number1891447751
StatusActive
Last updated in NPPESJan 21, 2022
Details
- NPI
- 1891447751
- Entity type
- Individual (NPI-1)
- Name
- Kendra Jean Nielson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2022
- Certification date
- Jan 21, 2022
- Last updated
- Jan 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LPC-8629 | ID | Yes |
Practice location
1901 N Lakes Pl Ste 150Meridian, ID 83646-5939
Phone 208-890-7165
Mailing address
14331 Crego StCaldwell, ID 83607-4815
Phone 208-757-0067
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 192 Mental Health Counselor providers in Meridian · All 4,112 providers in Meridian
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