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

MS. Lydia Jo Missal, LCPC

Individual provider Mental Health Counselor · NPI 1083959332

MS. Lydia Jo Missal, LCPC is a Mental Health Counselor in Hailey, Idaho. Qualified in 2008, 18 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Montana.

Years since qualifying
18
Licensed in
ID, MT
In the registry since
2012
Specialties on file
3
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

613 N River St Ste 1A
Hailey, ID 83333-8438
Phone: (406) 546-2025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1832 E. 1750 S., Gooding, ID 83330 — (208) 934-4444

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LCPC-5876 (ID)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC-5912 (ID)
Professional Counselor Taxonomy 101YP2500X · Licence 2407 (MT)

Record details

NPI number1083959332
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedNovember 27, 2012
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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