Active NPI
Jessica Taylor Bernal, BA, MA, LPC
- Mental Health Counselor
- Nampa, ID
National Provider Identifier
1033095393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1371869
- Practice address
- 220 10TH Ave S
Nampa, ID 83651-3832 - Phone
- (208) 468-0850
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1371869 | ID | Primary |
Addresses
Primary practice location
220 10TH Ave S
Nampa, ID 83651-3832
Mailing address
220 10TH Ave S
Nampa, ID 83651-3832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1371869 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1033095393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 10TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 10TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513832",
"telephone_number": "208-468-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "JESSICA",
"middle_name": "TAYLOR",
"credential": "BA, MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "1371869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.