Individual provider Active NPI

Jordyn Marie Witty, LCSW

  • Clinical Social Worker
  • Meridian, ID
National Provider Identifier
1366003147
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8911019 Issued in ID
Practice address
3071 E Franklin Rd Ste 201
Meridian, ID 83642-2376
Phone
(208) 807-2877
Fax
(208) 807-2888
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMSW-42257 ID
Clinical Social Worker 1041C0700X LMSW-42257 ID
Clinical Social Worker 1041C0700X 8911019 ID Primary

Addresses

Primary practice location

3071 E Franklin Rd Ste 201
Meridian, ID 83642-2376

Mailing address

3425 13TH St
Baker City, OR 97814-1340
Phone (542) 523-7400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordyn@limitlesslifecounseling.com Direct

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

State licenses

LicenseStateTypeSpecialty
23-QMHP-R-2188ORMDMental Health Counselor
8911019IDMDClinical Social Worker
LMSW-42257IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Northwest, Inc CurrentSince Sep 29, 2019 Accepting new patients

Locations

2200 4th St
Baker City, OR 97814
Phone (541) 523-3646

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1366003147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 13TH ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141340",
            "telephone_number": "542-523-7400",
            "fax_number": "541-523-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 E FRANKLIN RD STE 201",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422376",
            "telephone_number": "208-807-2877",
            "fax_number": "208-807-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTY",
        "first_name": "JORDYN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-42257",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LMSW-42257",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8911019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordyn@limitlesslifecounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3071 E Franklin Rd Ste 201",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836422376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.