Individual provider Active NPI

Jayce Lehman

  • Clinical Social Worker
  • Idaho Falls, ID
National Provider Identifier
1609532167
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8861915 Issued in ID
Practice address
1262 E 17TH St
Idaho Falls, ID 83404-6126
Phone
(208) 346-0688
NPI assigned
Nov 9, 2021
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8861915 ID Primary
Mental Health Counselor 101YM0800X 10382488-3502 UT

Addresses

Primary practice location

1262 E 17TH St
Idaho Falls, ID 83404-6126

Mailing address

4540 S Cameron LN
Rexburg, ID 83440-4373

Other practice location 1

2655 S Lake Erie Dr
West Valley City, UT 84120-7350
Phone (385) 441-4900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250501002246 ID Practitioner - Clinical Social Worker 1153847256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodhouse Counseling LLCGroup PAC ID 9739477738, 8 clinicians

Practice addresses (Care Compare)

1262 E 17TH St
Idaho Falls, ID 83404-6126
Phone (208) 346-0688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10382488-3502UTMDMental Health Counselor
8861915IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Woodhouse Counseling LLC Clinical CurrentSince Apr 21, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1609532167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 S CAMERON LN",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834404373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046126",
            "telephone_number": "208-346-0688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 S Lake Erie Dr",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "841207350",
            "country_code": "US",
            "telephone_number": "385-441-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "JAYCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8861915",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10382488-3502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.