ANNIE MIKESELL MA, LCPC - NPI 1528580776

Q: What is Annie Mikesell's NPI number?

The NPI number for Annie Mikesell is 1528580776. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Q: What is Annie Mikesell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Annie Mikesell was last updated on July 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Annie Mikesell Ma, Lcpc NPPES

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

ANNIE MIKESELL MA, LCPC (NPI 1528580776) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LCPC7432) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528580776

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameANNIE MIKESELLCredential: MA, LCPC

Location Address410 S ORCHARD ST STE 124Boise, ID 83705-1210

Mailing AddressPo Box 8413Boise, ID 83707-2413 · (208) 614-0719

Phone(208) 146-0719

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 10, 2017

Last NPPES UpdateJuly 18, 20235 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1528580776 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 · LCPC7432

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC-6341 (ID)

410 S ORCHARD ST STE 124, Boise, ID 83705

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annie Mikesell Ma, Lcpc 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.

PECOS PAC ID3072025618

PECOS Enrollment IDI20250620000878

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.

Other Providers at the Same Location NPPES 8

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

BANYAN TREE WELLNESS, PLLC

Community/Behavioral Health