P Praxis·MD
● Active Type 2 · Organization

Caldwell Counseling Associates, Pllc

Counselor·Caldwell, ID· NPI 1417024209 · Enumerated 2006 · 19 years on NPI
Caldwell Counseling Associates, Pllc is 1 of 1998 counselor organizations in Idaho.
NPI age
19 years
Enumerated 2006-11-29
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Owner Counselor
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 1998 active counselor providers in Idaho.

NPI age
19 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
2020 Blaine St
Caldwell, ID 836054343
📞 2088806127fax 2084556244
Mailing address
2020 Blaine St
Caldwell, ID 836054343
📞 2088806127fax 2084556244

Authorized official

Lyndell V. Jackson, LCPC
Owner Counselor
📞 2088806127

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC234 taxonomy 101YM0800X

Identifiers

TypeValueNotes
01 (ID) Q1109 BLUE CROSS OF ID
01 (ID) 000010016363 REGENCE BLUE SHIELD OF ID

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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