JENNIFER WADE COUNSELOR INTERN
NPI 1356053409
Counselor - Professional in Moscow, ID
About Jennifer Wade Counselor Intern NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER WADE COUNSELOR INTERN (NPI 1356053409) is an individual professional provider in Moscow, Idaho, licensed in Idaho (LPC-10126) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Wade Counselor Intern is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moscow, ID 83843
- Reassigned Medicare billing, Idaho enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Wade's NPI number?
The NPI number for Jennifer Wade is 1356053409. It was assigned to this individual provider in the NPPES registry on December 20, 2022.
Where is Jennifer Wade located?
Jennifer Wade practices at 317 W 6th St Ste 208, Moscow, ID 83843. The listed phone number is (208) 882-3504.
What is Jennifer Wade's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Wade enrolled in Medicare?
Yes. Jennifer Wade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jennifer Wade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wade reassigns Medicare benefits to Scott Community Care, PLLC (Moscow, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Wade was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennifer Wade, COUNSELOR INTERN · NPI 1356053409
Professional provider in Moscow, Idaho. Individual provider, active in the CMS NPPES registry since December 20, 2022.
## Identity
- **NPI:** 1356053409 (Entity type: Individual)
- **Enumerated:** December 20, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-10126 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 317 W 6TH ST STE 208, Moscow, ID 83843-2387
- **Phone:** (208) 882-3504
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Scott Community Care, PLLC (NPI 1356644769, Moscow, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356053409) · Data from the CMS NPPES public registry.