Jaxson Layne Stark is a Ammon, Idaho based counselor who is specialized as Mental Health Counselor. Active license number of Jaxson Layne Stark is LCPC 5501 for Mental Health Counselor in Idaho. His current practice location is 2705 E 17th St, Ammon. Patients can book an appointment with him at 208-360-0067.
Jaxson Layne Stark is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Jaxson Layne Stark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jaxson Layne Stark
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
MS
Accepts Medicare Assignment:
No
Practice Address:
2705 E 17th St, Ammon, Idaho, 83406-6601
Phone:
208-360-0067
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1144559527
NPI Enumeration Date:
15 Dec, 2009
NPI Last Update On:
06 Dec, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaxson Layne Stark are as mentioned below.
License Number
Specialization
State
Status
LCPC 5501
Mental Health Counselor
Idaho
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3770 N Haderlie Ln, Iona, Idaho
Zip:
83427-7723
Phone Number:
208-360-0067
Patients can reach Jaxson Layne Stark at 2705 E 17th St, Ammon, Idaho or can call to book an appointment on 208-360-0067. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.