Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Wixom, LPC, NCC

Individual provider Mental Health Counselor · NPI 1982129177

Jordan Wixom, LPC, NCC is a Mental Health Counselor in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

2267 Teton Plz
Idaho Falls, ID 83404-6486
Phone: (208) 522-0140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC-7628 (ID)

Record details

NPI number1982129177
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , NCC
Sole proprietorYes
NPI enumeratedAugust 8, 2017
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

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