1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Counselor
  6. NPI Profile

ZACHARY WIXOM LMSW
NPI 1023507977
Counselor - Mental Health in Idaho Falls, ID

Active since May 07, 2018
150 SHOUP AVE, IDAHO FALLS, ID 83402(208) 528-5712 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Zachary Wixom Lmsw NPPES

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

ZACHARY WIXOM LMSW (NPI 1023507977) is an individual mental health provider in Idaho Falls, Idaho and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1023507977
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameZACHARY WIXOMCredential: LMSW
Location Address150 SHOUP AVEIdaho Falls, ID 83402-3657
Mailing Address150 Shoup AveIdaho Falls, ID 83402-3657
Phone(208) 528-5712
Sole ProprietorNo
Enumeration DateMay 7, 2018
✔ NPI 1023507977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
150 SHOUP AVE, Idaho Falls, ID 83402
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MELISSA GALLANT RN
Registered Nurse
150 SHOUP AVE, SUITE 17
IDAHO FALLS, ID 83402
Bonneville County (208) 528-5700
MARIA RODRIGUEZ-MONCADA
Developmental Therapist
150 SHOUP AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-4061
TODD JENSEN
Registered Nurse
150 SHOUP AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-5700
KATHLEEN KUNKEL
Developmental Therapist
150 SHOUP AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-4062
MS. KRISTA MARIE GRIFFIN LCSW
Social Worker (Clinical)
150 SHOUP AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 716-4372
SANDRA CUMMINGS
Developmental Therapist
150 SHOUP AVE, SUITE 19
IDAHO FALLS, ID 83402
Bonneville County (208) 528-4070
TIMOTHY MCHUGH
Physician Assistant
150 SHOUP AVE, SUITE 17
IDAHO FALLS, ID 83402
Bonneville County (208) 528-5755
IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR IF
Clinic/Center (Mental Health (Including Community Mental Health Center))
150 SHOUP AVE, SUITE 17
IDAHO FALLS, ID 83402
Bonneville County (208) 528-5700

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 Zachary Wixom's NPI number?

The NPI number for Zachary Wixom is 1023507977. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Zachary Wixom located?

Zachary Wixom practices at 150 Shoup Ave, Idaho Falls, ID 83402. The listed phone number is (208) 528-5712.

What is Zachary Wixom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Zachary Wixom was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.