NPI age
6 years
Enumerated 2020-01-30
● Active Type 2 · Organization
Jackie Nelson, Pllc
Jackie Nelson, Pllc is 1 of 93 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nelson
Owner And Counselor
Last NPPES update
2020-01-30
Source: monthly bulk 2026-05
How this organization compares
Across 93 active clinic/center providers in Idaho.
NPI age
6 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
202 N 9th St Ste 401c
Boise, ID 837025770
Mailing address
4621 W Kendall St
Boise, ID 837062222
Authorized official
Jacquelyn Nelson, M.S.C, LCPC
Owner And Counselor
📞 4803165462
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.