NPI age
16 years
Enumerated 2009-12-15
● Active
Type 1 · Individual
Jaxson Layne Stark, MS
Stark is 1 of 25 counselor providers in Ammon and 1 of 1998 in Idaho.
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1998 active counselor providers in Idaho.
NPI age
16 years
↑ 9 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-12Enumerated in NPPES
2009
2026
Where they practice
Practice location
2705 E 17th St
Ammon, ID 834066601
Mailing address
3770 N Haderlie Ln
Iona, ID 834277723
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 116 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new counselor provider has been added in Ammon in the last 180 days.
See all →
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