MS. SALLY JO LEYSE LCPC NPI 1720099203

NPI Information

  • NPI: 1720099203
  • Provider Name: MS. SALLY JO LEYSE, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 601A PIONEER MOUNTAIN LOOP
    JEROME, ID
    ZIP 83338
  • Phone: (208) 420-5902

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NPI Details

MS. Sally Jo Leyse, LCPC is a mental health counselor in Jerome, ID. MS. Sally Jo Leyse, LCPC NPI is 1720099203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601A PIONEER MOUNTAIN LOOP
JEROME, ID
ZIP 83338-557
Phone: (208) 420-5902

The enumeration date for this NPI number is 8/10/2006 and was last updated on 10/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLCPC-215IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112249540OTHERIDAHOCAQH
2000010017683OTHERIDAHOBLUE SHIELD
3Q215-6OTHERIDAHOBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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