JORDAN WIXOM LPC, NCC
NPI 1982129177
Counselor - Mental Health in Idaho Falls, ID
About Jordan Wixom Lpc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN WIXOM LPC, NCC (NPI 1982129177) is an individual mental health provider in Idaho Falls, Idaho, licensed in Idaho (LCPC-7628) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.
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
Enrolled in Medicare (PECOS)
Jordan Wixom Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jordan Wixom's NPI number?
The NPI number for Jordan Wixom is 1982129177. It was assigned to this individual provider in the NPPES registry on August 8, 2017.
Where is Jordan Wixom located?
Jordan Wixom practices at 2267 Teton Plz, Idaho Falls, ID 83404. The listed phone number is (208) 522-0140.
What is Jordan Wixom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jordan Wixom enrolled in Medicare?
Yes. Jordan Wixom is registered in the Medicare PECOS enrollment system.
What insurance does Jordan Wixom accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Jordan Wixom 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 Jordan Wixom was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Jordan Wixom, LPC, NCC · NPI 1982129177
Mental Health provider in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since August 8, 2017.
## Identity
- **NPI:** 1982129177 (Entity type: Individual)
- **Enumerated:** August 8, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LCPC-7628 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2267 TETON PLZ, Idaho Falls, ID 83404-6486
- **Phone:** (208) 522-0140
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1982129177) · Data from the CMS NPPES public registry.