Sean J Nixon, LCPC, LMFT, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-5100 Issued in ID

Practice address

1655 W Fairview Ave
Suite 115
Boise, ID 83702-5100

Phone

(208) 515-7661

Fax

(208) 515-7661

NPI assigned

Sep 28, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mana Resources LLC

  • Community/Behavioral Health Agency
  • Caldwell, ID
  • NPI 1366883605
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1003167198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 W TROPICAL DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868744",
            "telephone_number": "208-869-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W FAIRVIEW AVE",
            "address_2": "SUITE 115",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025100",
            "telephone_number": "208-515-7661",
            "fax_number": "208-515-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "SEAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCPC, LMFT, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LAMFT-4954",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-5100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph V Nishitani, M.D.
• Lois R. Niska, DO
• Amy Nixon, RN
• Devon Nixon, MD
• Kara Marie Nixon
• Bienvenu Niyigena
• Samantha Marie Nizich, PA-C
• Zacharia Njoroge, PA
• Noble Intent
• Noble Intent LLC

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.