JESSICA IVANCIC MS, LCPC
NPI 1922561612
Counselor - Professional in Meridian, ID
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 Meridian, 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
Specialties & Licenses
Accepted 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MERIDIAN, ID 83646
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 3709 N Locust Grove Rd Ste 100, Meridian, ID 83646. 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 September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jessica Ivancic, MS, LCPC · NPI 1922561612
Professional provider in Meridian, Idaho. Individual provider, active in the CMS NPPES registry since April 9, 2019.
## Identity
- **NPI:** 1922561612 (Entity type: Individual)
- **Enumerated:** April 9, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LCPC7364 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3709 N LOCUST GROVE RD STE 100, Meridian, ID 83646-5924
- **Phone:** (208) 817-0965
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922561612) · Data from the CMS NPPES public registry.