Individual provider Active NPI

Jessica Watkins, LPC

  • Mental Health Counselor
  • Kuna, ID
National Provider Identifier
1417764671
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9541979 Issued in ID
Practice address
278 Bridge St
Kuna, ID 83634-1969
Phone
(208) 629-5620
Fax
(208) 556-7826
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9541979 ID Primary

Addresses

Primary practice location

278 Bridge St
Kuna, ID 83634-1969

Mailing address

PO Box 194
Kuna, ID 83634-0194
Phone (208) 629-5620

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
9541979IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Mental Wellness & Addiction Recovery PLLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

1579 N Linder Rd
Kuna, ID 83634
Phone (208) 629-5620

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": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1417764671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836340194",
            "telephone_number": "208-629-5620",
            "fax_number": "208-556-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BRIDGE ST",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341969",
            "telephone_number": "208-629-5620",
            "fax_number": "208-556-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "9541979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kuna, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.