P Praxis·MD
● Active Type 1 · Individual

Mykell Valentina Jeppesen, LMSW, CADC

Psychiatry & Neurology·Idaho Falls, ID· NPI 1811762727 · Enumerated 2023 · 2 years on NPI
Jeppesen is 1 of 27 psychiatry & neurology providers in Idaho Falls and 1 of 245 in Idaho.
NPI age
2 years
Enumerated 2023-11-20
Primary specialty
Psychiatry & Neurology
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 245 active psychiatry & neurology providers in Idaho.

NPI age
2 years
↓ 13 yr below median (15 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-11Enumerated in NPPES
2023 2026

Where they practice

Practice location
685 1st St
Idaho Falls, ID 834014003
📞 2089324493
Mailing address
223 Georgetown Dr # SR
Rexburg, ID 834405274
📞 8064779722

Specialties

  • Psychiatry & Neurology Primary
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    ID license #LMSW-43873ID license #CADC-5049 taxonomy 2084P0800X

Practice context

Part of a multi-provider practice. 8 other active providers share 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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