NICOLE DIANA MADILL-KLUPENGER LCPC 6404
NPI 1366990996
Counselor - Mental Health in Bonners Ferry, ID

Q: What is Nicole Madill-klupenger's NPI number?

The NPI number for Nicole Madill-klupenger is 1366990996. It was assigned to this individual provider in the NPPES registry on September 12, 2016. The provider is also known as Nicole Diana Klupenger Lcpc 6404.

Q: What is Nicole Madill-klupenger's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since September 12, 2016PECOS Enrolled

687 CAMP NINE RD, BONNERS FERRY, ID 83805(541) 314-5734 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2018, Sep 12, 2016 (2 updates tracked since 2016).

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About Nicole Diana Madill-klupenger Lcpc 6404 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DIANA MADILL-KLUPENGER LCPC 6404 (NPI 1366990996) is an individual mental health provider in Bonners Ferry, Idaho, licensed in Idaho (LCPC-6404) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bonners Ferry, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1366990996

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameNICOLE DIANA MADILL-KLUPENGERCredential: LCPC 6404

Location Address687 CAMP NINE RDBonners Ferry, ID 83805-5074

Mailing Address687 Camp Nine RdBonners Ferry, ID 83805-5074 · (541) 314-5734

Phone(541) 314-5734

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 12, 2016

Last NPPES UpdateJune 23, 20222 updates tracked since enumeration

NPPES CertifiedJune 23, 2022

✔ NPI 1366990996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in ID · LCPC-6404

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC5539 (ID)

687 CAMP NINE RD, Bonners Ferry, ID 83805

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Other Names 1

Former Name (1)Nicole Diana Klupenger Lcpc 6404

Secondary Practice Location 1

Location 1687 Cody StreetBonners Ferry, ID 83805 · Phone (208) 267-0900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Diana Madill-klupenger Lcpc 6404 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618316076

PECOS Enrollment IDI20240417003609

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Nicole Madill-klupenger's NPI number?

The NPI number for Nicole Madill-klupenger is 1366990996. It was assigned to this individual provider in the NPPES registry on September 12, 2016. The provider is also known as Nicole Diana Klupenger Lcpc 6404.

Where is Nicole Madill-klupenger located?

Nicole Madill-klupenger practices at 687 Camp Nine Rd, Bonners Ferry, ID 83805. The listed phone number is (541) 314-5734.

What is Nicole Madill-klupenger's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Madill-klupenger enrolled in Medicare?

Yes. Nicole Madill-klupenger is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Madill-klupenger accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Nicole Madill-klupenger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Madill-klupenger was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.