NPI age
3 years
Enumerated 2023-01-17
● Active
Type 1 · Individual
Jennie Bacon
Bacon is 1 of 43 counselor providers in Meridian and 1 of 545 in Idaho.
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 545 active counselor providers in Idaho.
NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-01Enumerated in NPPES
2023
2026
Where they practice
Practice location
1519 N Main St # 110
Meridian, ID 836421717
Mailing address
1628 S Loggers Pond Pl Apt 13
Boise, ID 837066599
Specialties
-
Counselor PrimaryA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 2 new counselor providers have been added in Meridian in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.