Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MYKELL VALENTINA JEPPESEN LMSW, CADC
NPI 1811762727
Social Worker in Idaho Falls, ID

Q: What is Mykell Jeppesen's NPI number?

The NPI number for Mykell Jeppesen is 1811762727. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Q: What is Mykell Jeppesen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Mykell Jeppesen was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since November 20, 2023PECOS Enrolled

685 1ST ST, IDAHO FALLS, ID 83401(208) 932-4493 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2026, Dec 5, 2023, Nov 20, 2023 (3 updates tracked since 2023).

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About Mykell Valentina Jeppesen Lmsw, Cadc NPPES

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

MYKELL VALENTINA JEPPESEN LMSW, CADC (NPI 1811762727) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (8911377) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811762727

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMYKELL VALENTINA JEPPESENCredential: LMSW, CADC

Location Address685 1ST STIdaho Falls, ID 83401-4003

Mailing Address223 Georgetown Dr # SrRexburg, ID 83440-5274 · (806) 477-9722

Phone(208) 932-4493

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 20, 2023

Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1811762727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in ID · 8911377

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 8911377 (ID)

685 1ST ST, Idaho Falls, ID 83401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mykell Valentina Jeppesen Lmsw, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789169269

PECOS Enrollment IDI20260402000619

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 9

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

NATHAN JAMES FULLMER LPC

Counselor (Mental Health)