P Praxis·MD
● Active Type 1 · Individual

MS. Lydia Jo Missal, LCPC

Counselor·Hailey, ID· NPI 1083959332 · Enumerated 2012 · 13 years on NPI
Missal is 1 of 12 counselor providers in Hailey and 1 of 1313 in Idaho.
NPI age
13 years
Enumerated 2012-11-27
Primary specialty
Counselor
Plus 2 subspecialties
Licensed in
ID, MT
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1313 active counselor providers in Idaho.

NPI age
13 years
↑ 4 yr above median (9 yr)
State licenses
2 states
Top 95% — 5% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-11Enumerated in NPPES
2012 2026

Where they practice

Practice location
613 N River St Ste 1a
Hailey, ID 833338438
📞 4065462025
Mailing address
Po Box 5895
Hailey, ID 833335895
📞 4065462025

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1832 E. 1750 S.
Gooding, ID 83330
📞 2089344444fax 2089345171

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-5876MT license #2407 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    ID license #LPC-5912 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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