NPI age
3 years
Enumerated 2022-08-31
● Active Type 2 · Organization
Jesse Tangen Lcsw Counseling Pllc
Jesse Tangen Lcsw Counseling Pllc is 1 of 1998 counselor organizations in Idaho.
Primary specialty
Counselor
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Tangen
Owner
Last NPPES update
2022-08-31
Source: monthly bulk 2026-05
How this organization compares
Across 1998 active counselor providers in Idaho.
NPI age
3 years
↓ 4 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-08Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
410 S Orchard St Ste 124
Boise, ID 837051210
Mailing address
410 S Orchard St Ste 124
Boise, ID 837051210
Additional practice locations
1 secondary location on file with NPPES.
Location 2
506 Fletcher Dr
Nampa, ID 836868854
Authorized official
Jesse Tangen, LCSW
Owner
📞 7018938828
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Jessica Adams, LCPC Counselor NPI 1760894612
- Tracey Breski, LPC-6531 Counselor NPI 1780155739
- Annie Mikesell, MA, LCPC Counselor NPI 1528580776
- Billylynn Pestell, LCSW Social Worker NPI 1497318802
- Julie Robinson, LMSW Social Worker NPI 1710047766
- Douglas Shey, LPC Counselor NPI 1821391525
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Multi-provider organization. 6 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.