Jordan Wixom, LPC, NCC - Counselor in Blackfoot, ID

Jordan Wixom, LPC, NCC is a Counselor - Professional based in Blackfoot, Idaho. Jordan Wixom is licensed to practice in Idaho (license number LPC-6568) and her current practice location is 411 Rich Ln, Blackfoot, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 680-3322.

NPI number for Jordan Wixom is 1982129177 and her current mailing address is 411 Rich Ln, Blackfoot, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982129177.

Contact Information

Jordan Wixom, LPC, NCC
411 Rich Ln,
Blackfoot, ID 83221-3950
(208) 680-3322
Not Available

Healthcare Provider's Profile

Full NameJordan Wixom
GenderFemale
SpecialityCounselor - Professional
Location411 Rich Ln, Blackfoot, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982129177
  • Provider Enumeration Date: 08/08/2017
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Jordan Wixom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982129177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional LPC-6568 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Wixom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Wixom, LPC, NCC
411 Rich Ln,
Blackfoot, ID 83221-3950

Ph: (208) 680-3322
Jordan Wixom, LPC, NCC
411 Rich Ln,
Blackfoot, ID 83221-3950

Ph: (208) 680-3322

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Counselor in Blackfoot, ID

Shayna Kearn Norton, LMFT, CADC
Counselor
Medicare: Medicare Enrolled
Practice Location: 288 N Shilling Ave, Blackfoot, ID 83221
Phone: 208-785-1047    
Ms. Suzanne Godfrey, LCPC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 98 Poplar St, Third Floor, Blackfoot, ID 83221
Phone: 208-785-3800    Fax: 208-785-3876
Kimberley Sweet, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 720 East Alice Street, Blackfoot, ID 83221
Phone: 208-785-5874    
David Scott Hurst, LPC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1309 Camas St, Blackfoot, ID 83221
Phone: 208-782-0678    
Dallen Ray Bell, LMSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 1309 Camas St, Blackfoot, ID 83221
Phone: 208-782-0675    Fax: 208-782-0678
Mrs. Kathleen S Tomazin, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 90 W Judicial St, Blackfoot, ID 83221
Phone: 208-782-2060    Fax: 208-782-0209
Ruby Lee Walker, LPCP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-2600    

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