LC-ADVANCED HEALTH & WELLNESS
NPI 1467268953
Psychologist in Lewiston, ID

Active since December 09, 2024
1428 G ST, LEWISTON, ID 83501(208) 848-4140(208) 848-4143 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lc-advanced Health & Wellness NPPES

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

LC-ADVANCED HEALTH & WELLNESS (NPI 1467268953) is a healthcare organization registered as a psychologist in Lewiston, Idaho and active in the NPI registry since December 2024. The organization lists Anthony Brian Tenny, Owner, as its authorized official.

NPPES Registry Identity

NPI1467268953
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameLC-ADVANCED HEALTH & WELLNESS
Location Address1428 G STLewiston, ID 83501-2031
Mailing Address1428 G StLewiston, ID 83501-2031 · (208) 848-4140 · Fax (208) 848-4143
Fax(208) 848-4143
Organization SubpartNo
Authorized OfficialAnthony Brian TennyOwner · (208) 816-0015
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
✔ NPI 1467268953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1428 G ST, Lewiston, ID 83501

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lc-advanced Health & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lc-Advanced Health & Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1316276645
700 WESTPARK DR STE 200
Peachtree City, GA 30269
(678) 786-2413
✔ PECOS✔ Accepts Medicare1,916 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lc-Advanced Health & Wellness's NPI number?

The NPI number for Lc-Advanced Health & Wellness is 1467268953. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is Lc-Advanced Health & Wellness located?

Lc-Advanced Health & Wellness is located at 1428 G St, Lewiston, ID 83501. The listed phone number is (208) 848-4140.

What is Lc-Advanced Health & Wellness's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lc-Advanced Health & Wellness enrolled in Medicare?

Yes. Lc-Advanced Health & Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lc-Advanced Health & Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Lc-Advanced Health & Wellness. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lc-Advanced Health & Wellness was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.