Jaxson Layne Stark, MS
Mental Health Counselor · Ammon, ID
Jaxson Layne Stark, MS is a mental health counselor with a practice address in Ammon, Idaho, and NPI 1144559527, issued on Dec 15, 2009. Check the license (Idaho LCPC 5501, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jaxson Layne Stark
- Credential
- MS
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- LCPC 5501 ID
Self-reported in NPPES; status is on the state search - Practice location
- 2705 E 17TH St, Ammon, ID 83406
- Phone
- (208) 360-0067
- Enumerated
- Dec 15, 2009
- Record last updated
- Dec 6, 2023
- Medicare enrollment
- Enrolled (PECOS I20240104004885); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 1,620 in Idaho → Look up another NPI →
Also registered at 2705 E 17TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tiffini Aicher, CPRPSocial Worker1295275196
- Ryan AllredCounselor1821780388
- Kevin AndersonSocial Worker1649816182
- Makayla AndrusSchool Social Worker1942034061
- Chloe AponteCase Manager/Care Coordinator1912731266
- Amber Arias, MSWSocial Worker1780419820
Verify Jaxson Layne Stark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license LCPC 5501Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Pearl Health ClinicAmmon, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jaxson Layne Stark among 1,620 mental health counselor records in Idaho
Jaxson Layne Stark, MS is one of 1,620 mental health counselor records with a practice address in Idaho. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 18% of them.
- NPI issued2009 · 18% of these records are older, 79% newer
- In a Medicare fileYes · 8% of these records are
- In the CMS Doctors and Clinicians fileYes · 13% of these records are
- Graduated2007 · median 2015 among the 205 with a school on file
- Record last updated2023 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
22 mental health counselor records list a practice address in Ammon
They are 22 of the 420 NPPES records with a practice address in Ammon, and 1,620 mental health counselor records in Idaho.
All 1,620 in Idaho → Every provider in Ammon → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Somer BrownAmmon, ID 834061518409382
- Jodie Huber, LPCAmmon, ID 834061831843168
- Shawn Lapray, LCPCAmmon, ID 834061609197383
- Ananda Lettner, LCPCAmmon, ID 834061417619552
- Hailey Martinez, PHD, LCPCAmmon, ID 834061477082246
- Gabrielle McMurphy, LPCIdaho Falls, ID 834061043944861
- Angie Radford, LMSWAmmon, ID 834061831292754
- Debbie Smith, LCSWAmmon, ID 834061205017365
Common questions
What is Jaxson Layne Stark, MS's NPI number?
Jaxson Layne Stark, MS's National Provider Identifier (NPI) is 1144559527, issued on Dec 15, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Jaxson Layne Stark, MS located?
The NPPES record lists a practice address at 2705 E 17TH St, Ammon, ID, 83406. Phone: (208) 360-0067. Providers update this record themselves, so call before visiting.
How can I verify Jaxson Layne Stark, MS's license?
NPPES lists Idaho license number LCPC 5501, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.