Jaxson Stark, MS
Jaxson Stark, MS is a Mental Health Counselor in Ammon, ID, registered under NPI 1144559527. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 2705 E 17TH ST, Ammon, ID 83406. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| LCPC 5501 | ID | Mental Health Counselor primary |
This provider holds licence LCPC 5501 issued in ID. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Mental Health Counselor
- PAC ID
- 6204287162
Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1144559527 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 15, 2009 |
| Last updated | Dec 6, 2023 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | MS |
| Practice address |
2705 E 17TH ST Ammon, ID 83406 (208) 360-0067 |
| Mailing address |
3770 N HADERLIE LN Iona, ID 83427 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 4 | 4 | 5 | 5 | 9 | 5 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 8 | 4 | 1 | 5 | 9 | 5 | 4 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.