Individual provider · Type 1 NPI

Jordan Wixom, LPC, NCC

Mental Health Counselor · Idaho Falls, ID

NPI number 1982129177 Active

Practice location

2267 Teton Plz
Idaho Falls, ID 83404-6486

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC-7628 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1982129177

Jordan Wixom, LPC, NCC's National Provider Identifier is 1982129177, issued on Aug 8, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 4, 2026.