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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JEFFERSON H KRACZEK LCSW
NPI 1093087033
Counselor - Mental Health in Mackay, ID

Active since February 07, 2012PECOS EnrolledAccepts Medicare Assignment
4433 BEVERLAND ROAD, MACKAY, ID 83251(208) 588-2770(208) 588-2984 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Jun 21, 2021, Dec 14, 2018 (3 updates tracked since 2018).

About Mr. Jefferson H Kraczek Lcsw NPPES

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

MR. JEFFERSON H KRACZEK LCSW (NPI 1093087033) is an individual mental health provider in Mackay, Idaho, licensed in Idaho (LCSW27821) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1093087033
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JEFFERSON H KRACZEKCredential: LCSW
Location Address4433 BEVERLAND ROADMackay, ID 83251-8048
Mailing AddressPo Box 402Mackay, ID 83251-0402 · (208) 588-2770 · Fax (208) 588-2984
Phone(208) 588-2770
Fax(208) 588-2984
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 7, 2012
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1093087033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCSW27821
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
4433 BEVERLAND ROAD, Mackay, ID 83251
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jefferson H Kraczek Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325266505
PECOS Enrollment IDI20140829001772
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
813 services15 patients

Other Providers at the Same Location NPPES 2

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

IDAHO PSYCHOLOGICAL RESOURCES LLC
Social Worker
4433 BEVERLAND ROAD
MACKAY, ID 83251
Custer County (208) 588-5770
VALLEY VISTA CARE CORPORATION
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
4433 BEVERLAND ROAD
MACKAY, ID 83251
Custer County (208) 588-2600

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 Jefferson Kraczek's NPI number?

The NPI number for Jefferson Kraczek is 1093087033. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is Jefferson Kraczek located?

Jefferson Kraczek practices at 4433 Beverland Road, Mackay, ID 83251. The listed phone number is (208) 588-2770.

What is Jefferson Kraczek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jefferson Kraczek enrolled in Medicare?

Yes. Jefferson Kraczek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jefferson Kraczek was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.