Jessica Wassom, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6471142 Issued in ID

Practice address

3501 W Elder St Ste 300
Boise, ID 83705-4986

Phone

(208) 286-1529

NPI assigned

Oct 27, 2021

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Noble Intent

  • Adolescent and Children Mental Health Clinic/Center
  • Boise, ID
  • NPI 1992502827
  NPD
• Noble Intent LLC

  dba Noble Intent Continuum of Care Programs

  • Clinical Social Worker
  • Boise, ID
  • NPI 1174155741
  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1073277885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W ELDER ST STE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054986",
            "telephone_number": "208-286-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W ELDER ST STE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054986",
            "telephone_number": "208-286-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSOM",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "6471142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Washington, CSFA
• Barbara Elaine Wasie, FNP
• Jessica N Wasielewski, MD
• Valerie Wass, RDN, LDN
• Erika Wassom
• Rebecca Waste, LMSW
• David Allen Waterman, MD
• Janessa Waterman, NP-C
• Bradley Kent Waters, D.C., D.I.C.C.P.
• C. Dustin Waters, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.