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RODNEY KANIKKEBERG
NPI 1417308495
Counselor - Mental Health in Moscow, ID

Active since June 30, 2016
317 W 6TH ST, STE 208, MOSCOW, ID 83843(208) 882-3504(208) 882-3572 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rodney Kanikkeberg NPPES

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

RODNEY KANIKKEBERG (NPI 1417308495) is an individual mental health provider in Moscow, Idaho, licensed in Idaho (LPC-6234) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1417308495
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRODNEY KANIKKEBERG
Location Address317 W 6TH ST, STE 208Moscow, ID 83843-2321
Mailing Address317 W 6th St, Ste 208Moscow, ID 83843-2321 · (208) 882-3504 · Fax (208) 882-3572
Phone(208) 882-3504
Fax(208) 882-3572
Sole ProprietorNo
Enumeration DateJune 30, 2016
✔ NPI 1417308495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LPC-6234
317 W 6TH ST, Moscow, ID 83843
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELPING HAND FAMILY SERVICES, LLC
Rehabilitation Counselor
317 W 6TH ST, SUITE #208
MOSCOW, ID 83843
Latah County (208) 882-5960
ELIZABETH LOOMIS
Case Manager/Care Coordinator
317 W 6TH ST
MOSCOW, ID 83843
Latah County (208) 882-3504
VALERIE RUSSO LPC
Counselor (Professional)
317 W 6TH ST, SUITE 208
MOSCOW, ID 83843
Latah County (208) 882-5960
SHAHNA G PAUL
Counselor (Mental Health)
317 W 6TH ST
MOSCOW, ID 83843
Latah County (208) 882-3504

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 Rodney Kanikkeberg's NPI number?

The NPI number for Rodney Kanikkeberg is 1417308495. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Rodney Kanikkeberg located?

Rodney Kanikkeberg practices at 317 W 6th St Ste 208, Moscow, ID 83843. The listed phone number is (208) 882-3504.

What is Rodney Kanikkeberg's specialty?

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

When was this NPI record last updated?

The NPPES record for Rodney Kanikkeberg was last updated on June 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.