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MR. SEAN J NIXON LCPC, LMFT, NCC
NPI 1003167198
Counselor - Professional in Boise, ID

Active since September 28, 2012PECOS Enrolled
1655 W FAIRVIEW AVE, SUITE 115, BOISE, ID 83702(208) 515-7661(208) 515-7661 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Sean J Nixon Lcpc, Lmft, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SEAN J NIXON LCPC, LMFT, NCC (NPI 1003167198) is an individual professional provider in Boise, Idaho, licensed in Idaho (LPC-5100) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003167198
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. SEAN J NIXONCredential: LCPC, LMFT, NCC
Location Address1655 W FAIRVIEW AVE, SUITE 115Boise, ID 83702-5100
Mailing Address738 W Tropical DrNampa, ID 83686-8744 · (208) 869-4520
Phone(208) 515-7661
Fax(208) 515-7661
Sole ProprietorYes
Enumeration DateSeptember 28, 2012
Last NPPES UpdateAugust 15, 2019
✔ NPI 1003167198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LPC-5100
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LAMFT-4954 (ID)
1655 W FAIRVIEW AVE, Boise, ID 83702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sean J Nixon Lcpc, Lmft, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sean Nixon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mana Resources LLC
24 mi
Community/Behavioral Health
1008 FILLMORE ST
Caldwell, ID 83605
  • Reassigned Medicare billing, Idaho enrollment
  • 7 clinicians in this Medicare group
NPI 1366883605 (208) 585-3375

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA VICTORIA OWENS LMFT
Marriage & Family Therapist
1655 W FAIRVIEW AVE
BOISE, ID 83702
Ada County (208) 371-1806
MS. JULIE RACHLIN LCPC
Counselor (Professional)
1655 W FAIRVIEW AVE, SUITE 115
BOISE, ID 83702
Ada County (208) 515-6805
MRS. MERIDITH ANN DAHLIN L.P.C.
Counselor (Professional)
1655 W FAIRVIEW AVE, SUITE 115
BOISE, ID 83702
Ada County (208) 515-7661
TOMORROW'S HOPE STATELLITE SERVICES
Day Training, Developmentally Disabled Services
1655 W FAIRVIEW AVE, SUITE 100
BOISE, ID 83702
Ada County (208) 319-0760
TOMORROW'S HOPE SATELLITE SERVICES
Case Management
1655 W FAIRVIEW AVE, SUITE 100
BOISE, ID 83702
Ada County (208) 319-0760
CARE FIRST HOSPICE, LLC
Hospice Care, Community Based
1655 W FAIRVIEW AVE, SUITE 204
BOISE, ID 83702
Ada County (208) 343-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Nixon's NPI number?

The NPI number for Sean Nixon is 1003167198. It was assigned to this individual provider in the NPPES registry on September 28, 2012.

Where is Sean Nixon located?

Sean Nixon practices at 1655 W Fairview Ave Suite 115, Boise, ID 83702. The listed phone number is (208) 515-7661.

What is Sean Nixon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sean Nixon enrolled in Medicare?

Yes. Sean Nixon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sean Nixon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Nixon reassigns Medicare benefits to Mana Resources LLC (Caldwell, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Nixon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Nixon accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Sean Nixon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sean Nixon was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.