Provider Profile

Jaxson L. Stark, MS

Unclaimed Profile

About Jaxson Stark

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Education & Training

School Other Graduated: 2007

Specialty

Mental Health Counselor (Primary)

Credentials & Licensing

ID licenseLCPC 5501
NPI1144559527
NPI issued12/15/2009

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jaxson L. Stark specialize in?

Jaxson L. Stark is a mental health counselor in Ammon, ID. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jaxson L. Stark located?

Jaxson L. Stark is listed at 2705 E 17Th St, Ammon, ID 83406. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jaxson L. Stark's phone number?

The number on file is (208) 360-0067. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Jaxson L. Stark?

Jaxson L. Stark's National Provider Identifier is 1144559527. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jaxson L. Stark train?

Jaxson L. Stark attended Other, graduating in 2007. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jaxson L. Stark have?

Jaxson L. Stark has 19 years experience. Calculated from a graduation year of 2007, reported in the CMS National Downloadable File.

CMS public data

Is Jaxson L. Stark's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jaxson L. Stark. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.