Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Diana Madill-Klupenger, LCPC6404

Individual provider Mental Health Counselor · NPI 1366990996

Nicole Diana Madill-Klupenger, LCPC6404 is a Mental Health Counselor in Bonners Ferry, Idaho. Qualified in 2011, 15 years ago. Practices with Rawlings Community Counseling, a 4-clinician group and works from 2 locations. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

687 Camp Nine Rd
Bonners Ferry, ID 83805-5074
Phone: (541) 314-5734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 687 Cody Street, Bonners Ferry, ID 83805 — (208) 267-0900

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC-6404 (ID)
Professional Counselor Taxonomy 101YP2500X · Licence LPC5539 (ID)

Record details

NPI number1366990996
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC6404
Sole proprietorNo
NPI enumeratedSeptember 12, 2016
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Rawlings Community Counseling — 4 clinicians
Accepts Medicare assignment Not indicated

Other providers in Bonners Ferry