JENNIFER MIESCH PHD
NPI 1558084319
Psychologist in Pocatello, ID

Active since September 26, 2022Opted out of Medicare · through Nov 15, 2026
231 N 6TH AVE, POCATELLO, ID 83201(208) 254-1694(208) 904-4458 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Miesch Phd NPPES

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

JENNIFER MIESCH PHD (NPI 1558084319) is an individual psychologist in Pocatello, Idaho, licensed in Idaho (PSY-202631) and active in the NPI registry since September 2022. She has opted out of Medicare through November 15, 2026.

NPPES Registry Identity

NPI1558084319
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNIFER MIESCHCredential: PHD
Location Address231 N 6TH AVEPocatello, ID 83201-6211
Mailing Address231 N 6th AvePocatello, ID 83201-6211 · (208) 254-1694 · Fax (208) 904-4458
Fax(208) 904-4458
Sole ProprietorYes
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
NPI 1558084319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ID · PSY-202631
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
231 N 6TH AVE, Pocatello, ID 83201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jennifer Miesch Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 15, 2024 through November 15, 2026.

Opt-Out Effective DateNovember 15, 2024
Opt-Out In Effect ThroughNovember 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
231 N 6TH AVE
POCATELLO, ID 83201

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 Jennifer Miesch's NPI number?

The NPI number for Jennifer Miesch is 1558084319. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Jennifer Miesch located?

Jennifer Miesch practices at 231 N 6th Ave, Pocatello, ID 83201. The listed phone number is (208) 254-1694.

What is Jennifer Miesch's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Miesch enrolled in Medicare?

No. Jennifer Miesch has opted out of Medicare through November 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Miesch was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.