Jordan Wixom, LPC, NCC
Counselor, Mental Health in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1982129177
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1982129177
- Entity type
- Individual (NPI-1)
- Name
- Jordan Wixom
- Credential
- LPC, NCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2017
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LCPC-7628 | ID | Yes |
Practice location
2267 Teton PlzIdaho Falls, ID 83404-6486
Phone 208-522-0140
Mailing address
2267 Teton PlzIdaho Falls, ID 83404-6486
Phone 208-522-0140
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All 144 Mental Health Counselor providers in Idaho Falls · All 3,646 providers in Idaho Falls
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