JACK A VENBRUX M.A., LCPC, LMHC
NPI 1679759500
Counselor - Mental Health in Coeur D Alene, ID
About Jack A Venbrux M.a., Lcpc, Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK A VENBRUX M.A., LCPC, LMHC (NPI 1679759500) is an individual mental health provider in Coeur D Alene, Idaho, licensed in Idaho (LCPC-6701) and active in the NPI registry since January 2008. He has opted out of Medicare through February 29, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jack A Venbrux M.a., Lcpc, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2024 through February 29, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
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 Jack Venbrux's NPI number?
The NPI number for Jack Venbrux is 1679759500. It was assigned to this individual provider in the NPPES registry on January 10, 2008.
Where is Jack Venbrux located?
Jack Venbrux practices at 1103 W Ironwood Dr, Coeur D Alene, ID 83814. The listed phone number is (509) 336-5972.
What is Jack Venbrux's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jack Venbrux enrolled in Medicare?
No. Jack Venbrux has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Jack Venbrux accept?
Health plans from Providence Health Plan list Jack Venbrux 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 Jack Venbrux was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jack A Venbrux, M.A., LCPC, LMHC · NPI 1679759500
Mental Health provider in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since January 10, 2008.
## Identity
- **NPI:** 1679759500 (Entity type: Individual)
- **Enumerated:** January 10, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LCPC-6701 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1103 W IRONWOOD DR, Coeur D Alene, ID 83814-2604
- **Phone:** (509) 336-5972
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 29, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 25, 2018
- **Other identifiers:** Other LCPC-6701 (ID); Other LH60249089 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1679759500) · Data from the CMS NPPES public registry.