P Praxis·MD
● Active Type 1 · Individual

Mira Lee Nielson, LPC

Counselor·Rexburg, ID· NPI 1447956966 · Enumerated 2023 · 3 years on NPI
Nielson is 1 of 28 counselor providers in Rexburg and 1 of 1998 in Idaho.
NPI age
3 years
Enumerated 2023-02-06
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-12-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-02Enumerated in NPPES
2023 2026

Where they practice

Practice location
420 W 4th S
Rexburg, ID 834402319
📞 2086564017
Mailing address
635 Lincoln Dr
Idaho Falls, ID 834014156
📞 5305664117

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2275 W Broadway St Ste G
Idaho Falls, ID 834022902
📞 2085247400

Specialties

  • Counselor Primary
    Definition to come...
    ID license #8241727 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Rexburg in the last 180 days. See all →
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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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