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

Mira Lee Nielson, LPC

Individual provider Mental Health Counselor · NPI 1447956966

Mira Lee Nielson, LPC is a Mental Health Counselor in Rexburg, Idaho. Qualified in 2022, 4 years ago. Practices with Tueller Counseling Inc, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

420 W 4th S
Rexburg, ID 83440-2319
Phone: (208) 656-4017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2275 W Broadway St Ste G, Idaho Falls, ID 83402-2902 — (208) 524-7400

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8241727 (ID)

Record details

NPI number1447956966
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tueller Counseling Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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