Mandy J Luis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-40086 Issued in ID

Practice address

550 2ND St
Suite 292
Idaho Falls, ID 83401-3900

Phone

(208) 529-2211

Fax

(208) 529-4647

NPI assigned

May 20, 2007

Last updated

Feb 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mandy Jones Former name

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

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.

• Allstar Counseling Inc.

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
  • NPI 1952638025
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1811105042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 2ND ST",
            "address_2": "P.O.BOX 1876",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013900",
            "telephone_number": "208-529-2211",
            "fax_number": "208-529-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 2ND ST",
            "address_2": "SUITE 292",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013900",
            "telephone_number": "208-529-2211",
            "fax_number": "208-529-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS",
        "first_name": "MANDY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-40086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "JONES",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phillip David Lowder, D.D.S., M.CL.D
• Adam J Lowe, D.D.S.
• Aaron Lowry, OT
• Wendy Loyd, LPC
• Peter Ludwig, LMT.
• Luke & Spencer Behavioral Health PLLC
• Lloyd Cody Luke, B.S.
• Luminous Wisdom Sandplay Therapy and Counseling PLLC
• E Jolene Lund, AUD
• Kelsi Lund, MS, CCC-SLP

• 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 Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.