P Praxis·MD
● Active Type 1 · Individual

Rodney Kanikkeberg

Counselor·Moscow, ID· NPI 1417308495 · Enumerated 2016 · 9 years on NPI
Kanikkeberg is 1 of 35 counselor providers in Moscow and 1 of 1998 in Idaho.
NPI age
9 years
Enumerated 2016-06-30
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-06-30
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
0
21% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Practice location
317 W 6th St, Ste 208
Moscow, ID 838432321
📞 2088823504fax 2088823572
Mailing address
317 W 6th St, Ste 208
Moscow, ID 838432321
📞 2088823504fax 2088823572

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LPC-6234 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 4 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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