Active NPI
Jordyn Marie Witty, LCSW
- Clinical Social Worker
- Meridian, ID
National Provider Identifier
1366003147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8911019
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 23-QMHP-R-2188 | OR | MD | Mental Health Counselor |
| 8911019 | ID | MD | Clinical Social Worker |
| LMSW-42257 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Directions Northwest, Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Baker City, OR
- NPI 1235124462
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.