Jaxson Stark, MS
NPI 1144559527 · Mental Health Counselor · Ammon, ID
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaxson Stark, MS is a Mental Health Counselor provider in Ammon, ID (NPI 1144559527).
Provider details
- NPI number
- 1144559527
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- LCPC 5501 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-12-15
- Last updated
- 2023-12-06
- Certified
- 2023-12-06
Frequently asked questions
- What is Jaxson Stark's NPI number?
- Jaxson Stark's National Provider Identifier (NPI) is 1144559527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaxson Stark's specialty?
- Jaxson Stark is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jaxson Stark located?
- Jaxson Stark's practice location on file with NPPES is 2705 E 17th St, Ammon, ID 83406-6601.
- What is Jaxson Stark's phone number?
- The practice phone number listed in the NPPES registry for Jaxson Stark is (208) 360-0067.
- Does Jaxson Stark accept Medicare?
- Jaxson Stark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaxson Stark's NPI active?
- Yes — Jaxson Stark's NPI (1144559527) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.