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JESSICA IVANCIC MS, LCPC
NPI 1922561612
Counselor - Professional in Boise, ID

Active since April 09, 2019Opted out of Medicare · through Jan 1, 2028
3320 N MILWAUKEE ST STE 160, BOISE, ID 83704(208) 817-0965 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 25, 2021, Apr 9, 2019 (2 updates tracked since 2019).

About Jessica Ivancic Ms, Lcpc NPPES

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

JESSICA IVANCIC MS, LCPC (NPI 1922561612) is an individual professional provider in Boise, Idaho, licensed in Idaho (LCPC7364) and active in the NPI registry since April 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1922561612
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA IVANCICCredential: MS, LCPC
Location Address3320 N MILWAUKEE ST STE 160Boise, ID 83704-0726
Mailing Address3320 N Milwaukee St Ste 160Boise, ID 83704-0726
Phone(208) 817-0965
Sole ProprietorYes
Enumeration DateApril 9, 2019
Last NPPES UpdateFebruary 16, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2024
✔ NPI 1922561612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LCPC7364
3320 N MILWAUKEE ST STE 160, Boise, ID 83704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Ivancic Ms, Lcpc 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jessica Ivancic's NPI number?

The NPI number for Jessica Ivancic is 1922561612. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Jessica Ivancic located?

Jessica Ivancic practices at 3320 N Milwaukee St Ste 160, Boise, ID 83704. The listed phone number is (208) 817-0965.

What is Jessica Ivancic's specialty?

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

Is Jessica Ivancic enrolled in Medicare?

No. Jessica Ivancic has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Ivancic accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Jessica Ivancic 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 Jessica Ivancic was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.