JENNIE BACON
NPI 1952016701
Counselor in Meridian, ID

Active since January 17, 2023
1519 N MAIN ST # 110, MERIDIAN, ID 83642(208) 724-8284 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennie Bacon NPPES

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

JENNIE BACON (NPI 1952016701) is an individual counselor in Meridian, Idaho, licensed in Idaho (LPC-8077) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1952016701
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIE BACON
Location Address1519 N MAIN ST # 110Meridian, ID 83642-1717
Mailing Address1628 S Loggers Pond Pl Apt 13Boise, ID 83706-6599 · (208) 724-8284
Sole ProprietorYes
Enumeration DateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
NPI 1952016701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in ID · LPC-8077
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1519 N MAIN ST # 110, Meridian, ID 83642

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 Jennie Bacon's NPI number?

The NPI number for Jennie Bacon is 1952016701. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Where is Jennie Bacon located?

Jennie Bacon practices at 1519 N Main St # 110, Meridian, ID 83642. The listed phone number is (208) 724-8284.

What is Jennie Bacon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jennie Bacon was last updated on January 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.