Individual provider Active NPI

Jessica Gaston, LPC

  • Professional Counselor
  • Twin Falls, ID
National Provider Identifier
1669201000
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1961269 Issued in ID
Practice address
496 Shoup Ave W Ste F
Twin Falls, ID 83301-5043
Phone
(208) 683-8320
Fax
(208) 969-8380
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-1961269 ID
Professional Counselor 101YP2500X LPC-1961269 ID Primary

Addresses

Primary practice location

496 Shoup Ave W Ste F
Twin Falls, ID 83301-5043

Mailing address

148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320

Other practice location 1

213 N Main St Ste 1B
Moscow, ID 83843-2700
Phone (208) 683-8320

Other practice location 2

148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320

Other practice location 3

509 Trolley Way
Suite 104
Middleton, ID 83644-6046
Phone (208) 683-8320

Other practice location 4

411 Main Street Unit G
Kamiah, ID 83536
Phone (208) 683-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-1961269IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Body & Mind Health Services, LLC Mental Health CurrentSince Aug 17, 2025 Accepting new patients
A Body & Mind Health Services, LLC Mental Health CurrentSince Aug 17, 2025 Accepting new patients

Locations

148 S Cole Rd
Boise, ID 83709
Phone (208) 683-8320

509 S Middleton Rd
Middleton, ID 83644
Phone (208) 683-8320

509 S Middleton Rd
Ste 104
Middleton, ID 83644
Phone (208) 683-8320

213 N Main St
Ste 1B
Moscow, ID 83843
Phone (208) 683-8320

496 Shoup Ave W
Ste F
Twin Falls, ID 83301
Phone (208) 683-8320

Organizations & group practices 2

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1669201000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090932",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SHOUP AVE W STE F",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015043",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 N Main St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838432700",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 S Cole Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837090932",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Trolley Way",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "ID",
            "postal_code": "836446046",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Main Street Unit G",
            "address_purpose": "LOCATION",
            "city": "Kamiah",
            "state": "ID",
            "postal_code": "83536",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASTON",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-1961269",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-1961269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.