MS. LYDIA JO MISSAL LCPC
NPI 1083959332
Counselor - Professional in Hailey, ID

Active since November 27, 2012PECOS EnrolledAccepts Medicare Assignment
613 N RIVER ST STE 1A, HAILEY, ID 83333(406) 546-2025 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2021, Sep 30, 2016 (2 updates tracked since 2016).

About Ms. Lydia Jo Missal Lcpc NPPES

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

MS. LYDIA JO MISSAL LCPC (NPI 1083959332) is an individual professional provider in Hailey, Idaho, licensed in Idaho (LCPC-5876) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gooding, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083959332
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LYDIA JO MISSALCredential: LCPC
Location Address613 N RIVER ST STE 1AHailey, ID 83333-8438
Mailing AddressPo Box 5895Hailey, ID 83333-5895 · (406) 546-2025
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 27, 2012
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
NPI 1083959332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in ID · LCPC-5876 Licensed in MT · 2407
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC-5912 (ID)
613 N RIVER ST STE 1A, Hailey, ID 83333

Secondary Practice Location 1

Location 11832 E. 1750 S.Gooding, ID 83330 · Phone (208) 934-4444 · Fax (208) 934-5171

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Lydia Jo Missal Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214473370
PECOS Enrollment IDI20240724004603
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.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
613 N RIVER ST STE 1A
HAILEY, ID 83333

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 Lydia Missal's NPI number?

The NPI number for Lydia Missal is 1083959332. It was assigned to this individual provider in the NPPES registry on November 27, 2012.

Where is Lydia Missal located?

Lydia Missal practices at 613 N River St Ste 1A, Hailey, ID 83333. The listed phone number is (406) 546-2025.

What is Lydia Missal's specialty?

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

Is Lydia Missal enrolled in Medicare?

Yes. Lydia Missal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lydia Missal accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Lydia Missal 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 Lydia Missal was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.