Active NPI
Jordan Matthew Seibert, LPC
- Professional Counselor
- Nampa, ID
National Provider Identifier
1114713823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7671157
- Practice address
- 1014 W Hemingway Blvd
Nampa, ID 83651-1733 - Phone
- (208) 246-9475
- NPI assigned
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7671157 | ID | Primary |
Addresses
Primary practice location
1014 W Hemingway Blvd
Nampa, ID 83651-1733
Mailing address
1014 W Hemingway Blvd
Nampa, ID 83651-1733
Phone (208) 246-9475
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250902002204 | ID | Practitioner - Mental Health Counselor | 7012418825 | Practice locations: Nampa, ID |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1014 W Hemingway Blvd
Nampa, ID 83651-1733
Phone (208) 246-9475
947 W Apple Pine St
Meridian, ID 83646-6058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7671157 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1114713823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 W HEMINGWAY BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511733",
"telephone_number": "208-246-9475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 W HEMINGWAY BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511733",
"telephone_number": "208-246-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIBERT",
"first_name": "JORDAN",
"middle_name": "MATTHEW",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-18",
"last_updated": "2025-04-18",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "7671157",
"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 Apr 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.