MIRA LEE NIELSON LPC
NPI 1447956966
Counselor - Mental Health in Rexburg, ID
About Mira Lee Nielson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRA LEE NIELSON LPC (NPI 1447956966) is an individual mental health provider in Rexburg, Idaho, licensed in Idaho (8241727) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Idaho Falls, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mira Lee Nielson Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Mira Nielson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Idaho Falls, ID 83402
- Reassigned Medicare billing, Idaho enrollment
- 23 clinicians in this Medicare group
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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
REXBURG, ID 83440
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 Mira Nielson's NPI number?
The NPI number for Mira Nielson is 1447956966. It was assigned to this individual provider in the NPPES registry on February 6, 2023.
Where is Mira Nielson located?
Mira Nielson practices at 420 W 4th S, Rexburg, ID 83440. The listed phone number is (208) 656-4017.
What is Mira Nielson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mira Nielson enrolled in Medicare?
Yes. Mira Nielson 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.
Which organization bills Medicare for Mira Nielson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mira Nielson reassigns Medicare benefits to Tueller Counseling Inc (Idaho Falls, 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 Mira Nielson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mira Nielson accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and University of Utah Health Plans list Mira Nielson 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 Mira Nielson was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Mira Lee Nielson, LPC · NPI 1447956966
Mental Health provider in Rexburg, Idaho. Individual provider, active in the CMS NPPES registry since February 6, 2023.
## Identity
- **NPI:** 1447956966 (Entity type: Individual)
- **Enumerated:** February 6, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 8241727 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 W 4TH S, Rexburg, ID 83440-2319
- **Phone:** (208) 656-4017
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Tueller Counseling Inc (NPI 1477766905, Idaho Falls, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1447956966) · Data from the CMS NPPES public registry.