Jodie Lynn Barnes, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-8485 Issued in ID

Practice address

655 South 4TH East
Ste 100
Preston, ID 83263-1604

Phone

(208) 451-7180

Fax

(866) 923-0022

NPI assigned

Oct 17, 2019

Last updated

Aug 9, 2024By 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

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.

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Summit Creek Counseling LLC

  • Counselor
  • Malad City, ID
  • NPI 1609415199
  NPD Authorized official

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1831731215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SOUTH 4TH EAST",
            "address_2": "BOX 1",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631604",
            "telephone_number": "208-451-7180",
            "fax_number": "866-923-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SOUTH 4TH EAST",
            "address_2": "STE 100",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631604",
            "telephone_number": "208-451-7180",
            "fax_number": "866-923-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JODIE",
        "middle_name": "LYNN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2024-08-09",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-8485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ascend Health LLC (Ascend Home Health)
• Ascend Health LLC (Ascend Hospice)
• Auralcare Hearing Centers of America, LLC (My Hearing Centers)
• Marcia B Austin, IP
• Back in Action Chiropractic LLC
• Heath Tripp Bateman, DDS
• David Bradley Beckstead, MD
• John Gerard Bitwinski, M.D.
• Gordon Scott Bontrager, MD
• Brett D Naylor DDS PA (Advanced Dental Center)

• Professional Counselor in Preston, ID
• Providers in Preston, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.