P Praxis·MD
● Active Type 1 · Individual

Nicole Diana Madill-Klupenger, LCPC 6404

Counselor·Bonners Ferry, ID· NPI 1366990996 · Enumerated 2016 · 9 years on NPI
Madill-Klupenger is 1 of 10 counselor providers in Bonners Ferry and 1 of 1998 in Idaho.
NPI age
9 years
Enumerated 2016-09-12
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-23
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
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-09Enumerated in NPPES
2016 2026

Where they practice

Practice location
687 Camp Nine Rd
Bonners Ferry, ID 838055074
📞 5413145734
Mailing address
687 Camp Nine Rd
Bonners Ferry, ID 838055074
📞 5413145734

Additional practice locations

1 secondary location on file with NPPES.

Location 2
687 Cody Street
Bonners Ferry, ID 83805
📞 2082670900

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-6404 taxonomy 101YM0800X
  • Counselor
    Definition to come...
    ID license #LPC5539 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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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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