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JOSE GERARDO PACHECO LICSW, MSW
NPI 1073088779
Social Worker - Clinical in Boise, ID

Active since October 09, 2018PECOS Enrolled
4750 N FIVE MILE RD, BOISE, ID 83713(208) 996-0931 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2025, Jul 14, 2023, Oct 18, 2021 and 1 more (4 updates tracked since 2018).

About Jose Gerardo Pacheco Licsw, Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE GERARDO PACHECO LICSW, MSW (NPI 1073088779) is an individual clinical provider in Boise, Idaho, licensed in Idaho (5761478) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073088779
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOSE GERARDO PACHECOCredential: LICSW, MSW
Location Address4750 N FIVE MILE RDBoise, ID 83713-2715
Mailing Address4750 N Five Mile RdBoise, ID 83713-2715 · (208) 614-9448
Phone(208) 996-0931
Sole ProprietorNo
Enumeration DateOctober 9, 2018
Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1073088779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · 5761478
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License LW61310284 (WA)
4750 N FIVE MILE RD, Boise, ID 83713
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12690 NE Kresky AveChehalis, WA 98532-2412 · Phone (360) 330-9595 ext. 2141 · Fax (360) 330-7865
Location 2273 Sussex Ave ETenino, WA 98589-9359 · Phone (360) 264-5665 · Fax (360) 330-7865

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Gerardo Pacheco Licsw, Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jose Pacheco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Behavioral Health Incorporated
308 mi
Mental Health (Including Community Mental Health Center)
3725 W 4100 S STE 105
West Valley City, UT 84120
  • Reassigned Medicare billing, Idaho enrollment
  • 25 clinicians in this Medicare group
NPI 1932166980 (801) 263-7138

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSICIANS CLINIC PLLC
Family Medicine
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 375-0500
DR. KALIN AMENDE PHD, LPC, PCLC
Counselor
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 691-1538
MS. HOLLEY REILLY BLITZ MA MFT
Marriage & Family Therapist
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 996-0931
MR. CARY SHELTON LCSW
Social Worker (Clinical)
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 996-0931
CHERYL C AMYX
Nurse Practitioner
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 375-0500
MARY PAIGE JEFFRESS FNP-C
Nurse Practitioner (Family)
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 375-0500
CHARMAINE C SMITH-WARDEN BA, BS, MS
Counselor (Professional)
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (888) 949-4864
TERRY M LITTLE D.O.
Family Medicine
4750 N FIVE MILE RD
BOISE, ID 83713
Ada County (208) 375-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Pacheco's NPI number?

The NPI number for Jose Pacheco is 1073088779. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Jose Pacheco located?

Jose Pacheco practices at 4750 N Five Mile Rd, Boise, ID 83713. The listed phone number is (208) 996-0931.

What is Jose Pacheco's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jose Pacheco enrolled in Medicare?

Yes. Jose Pacheco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Pacheco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Pacheco reassigns Medicare benefits to Valley Behavioral Health Incorporated (West Valley City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Pacheco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Pacheco accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Jose Pacheco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jose Pacheco was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.