MIRA LEE NIELSON LPC
NPI 1447956966
Counselor - Mental Health in Rexburg, ID

Active since February 06, 2023PECOS EnrolledAccepts Medicare Assignment
420 W 4TH S, REXBURG, ID 83440(208) 656-4017 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Feb 6, 2023 (2 updates tracked since 2023).

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

NPI1447956966
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIRA LEE NIELSONCredential: LPC
Location Address420 W 4TH SRexburg, ID 83440-2319
Mailing Address635 Lincoln DrIdaho Falls, ID 83401-4156 · (530) 566-4117
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 6, 2023
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1447956966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · 8241727
420 W 4TH S, Rexburg, ID 83440

Secondary Practice Location 1

Location 12275 W Broadway St Ste GIdaho Falls, ID 83402-2902 · Phone (208) 524-7400

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

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.

PECOS PAC ID5597258723
PECOS Enrollment IDI20251204004864
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 5

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

Social Worker
420 W 4TH S
REXBURG, ID 83440
Marriage & Family Therapist
420 W 4TH S
REXBURG, ID 83440
Counselor (Mental Health)
420 W 4TH S
REXBURG, ID 83440
Clinic/Center (Mental Health (Including Community Mental Health Center))
420 W 4TH S
REXBURG, ID 83440
Social Worker (Clinical)
420 W 4TH S
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.

What insurance does Mira Nielson accept?

Health plans from 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 20 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.