Bret V. Wixom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24803 Issued in ID

Practice address

4344 E Nibley Cir
Idaho Falls, ID 83401-3783

Phone

(208) 521-4433

Fax

(208) 538-2233

NPI assigned

Oct 2, 2006

Last updated

Apr 14, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wixom Counseling Online

  • Mental Health Counselor
  • Idaho Falls, ID
  • NPI 1942166277
  NPD Authorized official
• Wixom Counseling Inc

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1427571736
  Authorized official Same address or phone
• Family Resource Centers of America

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Idaho Falls, ID
  • NPI 1871604942

  Clinical

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1720171358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 E NIBLEY CIR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013783",
            "telephone_number": "208-521-4433",
            "fax_number": "208-538-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 E NIBLEY CIR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013783",
            "telephone_number": "208-521-4433",
            "fax_number": "208-538-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIXOM",
        "first_name": "BRET",
        "middle_name": "V.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "24803",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5450383-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wirick Family Chiropractic
• Brady Matthew Wirick, D,C,
• Shane Oliver Withers Jr., PHARMD, BCPS
• Wixom Counseling Inc
• Wixom Counseling Online
• Jordan Wixom, LPC, NCC
• Zachary Wixom, LMSW
• Women's Healthcare Associates (Rosemark WomenCare Specialists (Mid-level Group))
• Women's Healthcare Associates, P.a. (Rosemark WomenCare Specialists and/or Margaret Huggins, MD)
• Aspen Sage Wood

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.