P Praxis·MD
● Active Type 1 · Individual

MS. Sally Jo Leyse, LCPC

Counselor·Jerome, ID· NPI 1720099203 · Enumerated 2006 · 19 years on NPI
Leyse is 1 of 8 counselor providers in Jerome and 1 of 1998 in Idaho.
NPI age
19 years
Enumerated 2006-08-10
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-10-29
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
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
601a Pioneer Mountain Loop
Jerome, ID 833386557
📞 2084205902
Mailing address
601a Pioneer Mountain Loop
Jerome, ID 833386557
📞 2084205902

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-215 taxonomy 101YM0800X

Identifiers

TypeValueNotes
01 (ID) 000010017683 BLUE SHIELD
01 (ID) 12249540 CAQH
01 (ID) Q215-6 BLUE CROSS

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Provyx · Custom healthcare lists

Need all 1998 Counselor providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related