Jaxson Layne Stark
MS
Counselor - Mental Health
About Jaxson Layne Stark
Jaxson Layne Stark, MS, is a male healthcare professional specializing in Counselor - Mental Health with a focus on Mental Health, registered under National Provider Identifier (NPI) number 1144559527.
Jaxson Layne Stark received his medical education at OTHER, graduating in 2007. Their primary practice is located at 2705 E 17TH ST, Ammon, Idaho 83406. Patients can reach the office at (208) 360-0067.
Jaxson Layne Stark is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Jaxson Layne Stark has been NPI-registered since 2009.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1144559527
- Entity Type
- Individual
- First Name
- Jaxson
- Last Name
- Stark
- Credential
- MS
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 2007
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 2705 E 17TH ST
- City
- Ammon
- State
- Idaho
- ZIP
- 83406-6601
- Country
- United States
- Phone
- (208) 360-0067
Specialty & Taxonomy
- Primary Specialty
- Counselor - Mental Health
- Classification
- Counselor
- Specialization
- Mental Health
- Taxonomy Code
- 101YM0800X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 3770 N HADERLIE LN
- City
- IONA
- State
- ID
- ZIP
- 834277723
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
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Does Jaxson Layne Stark accept Medicare?
Does Jaxson Layne Stark offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jaxson Layne Stark is 1144559527.