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Life Changes Mental Health Services PLLC

NPI 1659939536ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Lewiston, ID

Nurse Practitioner, Psych/Mental Health in Lewiston, Idaho, registered in NPPES in June 2019. The authorized official on file is Elizabeth L. Von Bargen, NP, Nurse Practitioner, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1659939536
StatusActive
Entity typeOrganization
NPI issuedJun 5, 2019
Last updated in NPPESApr 7, 2023
Certified by providerApr 7, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (ID)

Medicare sources and data years

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