Jessica Sara Mikelonis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2646 Issued in ID

Practice address

1111 S Orchard St Ste 245
Boise, ID 83705-1964

Phone

(208) 867-9403

NPI assigned

Apr 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Sara Vallin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Uzima Health Services LLC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1720691249
  NPD

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1841045317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 245",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051964",
            "telephone_number": "208-867-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 245",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051964",
            "telephone_number": "208-867-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELONIS",
        "first_name": "JESSICA",
        "middle_name": "SARA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "VALLIN",
            "middle_name": "SARA",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John G Migliori, MD
• Mary Kathleen Migliori, MD
• Elizabeth Machelle Migneault, RN
• Drew Stanley Miiller, NP
• Kindra Miiller, NP-C
• Annie Mikesell, MA, LCPC
• Mikelle E Mikesell, DO
• Daniel Miko-Mikyene
• Lara N Miko, LCSW
• Milan Institutue

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.