Wixom Counseling Online

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WIXOM COUNSELING ONLINE

Practice address

4344 E Nibley Cir
Idaho Falls, ID 83401-3783

Phone

(208) 521-4433

Fax

(208) 538-2233

NPI assigned

Dec 30, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Bret V Wixom, MSW LCSWNPI 1720171358

Title

Owner

Phone

(208) 521-4433

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bret V. Wixom, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1720171358
  NPD Authorized official

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1942166277",
    "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": {
        "organization_name": "WIXOM COUNSELING ONLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "WIXOM",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-521-4433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW  LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jory Jarom Winward, DO
• Wirick Family Chiropractic
• Brady Matthew Wirick, D,C,
• Shane Oliver Withers Jr., PHARMD, BCPS
• Wixom Counseling Inc
• Bret V. Wixom, LCSW
• Jordan Wixom, LPC, NCC
• Zachary Wixom, LMSW
• Women'S Healthcare Associates
• Women'S Healthcare Associates, P.a.

• Mental Health Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.