Jordan Lipsh

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1623901 Issued in ID

Practice address

8310 W Ustick Rd Ste 100
Boise, ID 83704-6038

Phone

(208) 912-6986

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1407751555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E HAWAII AVE # 7301",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836861127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 W USTICK RD STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837046038",
            "telephone_number": "208-912-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSH",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ID",
            "license": "1623901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Al Lipetzky, PSY. D.
• Alicia Cosio Lipschultz, LPC
• Alex R Lipscomb, PHARMD
• Marla K Lipscomb, LCSW
• Ryan Lipscomb, M.S. LPC
• Cassie Anne Lis, PT, DPT
• Crystal Angel Lish, LCSW
• Jordan Matthew List, PHARM.D.
• Kalin Danial Lister, STUDENT
• Jessica Litke

• Behavior Technician in Boise, ID
• Providers in Boise, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.