Lydia Jo Missal, LCPC
NPI 1083959332ActiveIndividual· Counselor, Professional· Hailey, ID
Counselor, Professional (LCPC) in Hailey, Idaho, licensed in ID and MT, with an NPI issued in November 2012.
Overview
| NPI | 1083959332 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | Yes |
| NPI issued | Nov 27, 2012 |
| Last updated in NPPES | Mar 17, 2021 |
| Certified by provider | Mar 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LCPC-5876 | ID |
| Counselor, Mental Health | 101YM0800X | LPC-5912 | ID |
| Counselor, Professional | 101YP2500X | 2407 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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