Jennifer Wade, COUNSELOR INTERN
NPI 1356053409ActiveIndividual· Counselor, Professional· Moscow, ID
Counselor, Professional (COUNSELOR INTERN) with Scott Community Care, PLLC, practicing in Moscow, Idaho. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1356053409 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COUNSELOR INTERN |
| Sole proprietor | No |
| NPI issued | Dec 20, 2022 |
| Last updated in NPPES | Oct 19, 2026 |
| Certified by provider | Oct 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC-10126 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (ID) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Scott Community Care, PLLCMoscow, ID · 7 clinicians
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