P Praxis·MD
● Active Type 1 · Individual

Jennifer Wade, COUNSELOR INTERN

Counselor·Moscow, ID· NPI 1356053409 · Enumerated 2022 · 3 years on NPI
Wade is 1 of 35 counselor providers in Moscow and 1 of 1998 in Idaho.
NPI age
3 years
Enumerated 2022-12-20
Primary specialty
Counselor
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-12-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-12Enumerated in NPPES
2022 2026

Where they practice

Practice location
317 W 6th St Ste 208
Moscow, ID 838432387
📞 2088823504
Mailing address
421 E 6th St Apt 3
Moscow, ID 838432954
📞 7134195888

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Moscow in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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