MEDICARE: COUNSEL ME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1447100458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSEL ME LLC

Provider Business Mailing Address
First Line	:	PO BOX 312
Second Line	:
City	:	LUCILE
State	:	ID
Zip	:	83542-0312
Country	:	US
Telephone Number	:	904-309-4074
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 E MAIN ST
Second Line	:
City	:	GRANGEVILLE
State	:	ID
Zip	:	83530-2238
Country	:	US
Telephone Number	:	208-500-2066
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KIRSTEN ELISE COSTA
Credential	:	PHD, LPC
Telephone Number	:	904-309-4074

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “COUNSEL ME LLC ” Practice Location

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