IDAHO SPEECH & SWALLOW SERVICES
NPI 1104416288
Speech-Language Pathologist in Boise, ID

Active since January 21, 2021
4696 W OVERLAND RD STE 232, BOISE, ID 83705(208) 996-0828 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2021, May 26, 2021, Feb 25, 2021 and 1 more (4 updates tracked since 2021).

About Idaho Speech & Swallow Services NPPES

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

IDAHO SPEECH & SWALLOW SERVICES (NPI 1104416288) is a healthcare organization registered as a speech-language pathologist in Boise, Idaho and active in the NPI registry since January 2021. The organization lists Camarin Lawlor, Owner/speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1104416288
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameIDAHO SPEECH & SWALLOW SERVICES
Location Address4696 W OVERLAND RD STE 232Boise, ID 83705-2864
Mailing Address4696 W Overland Rd Ste 232Boise, ID 83705-2864 · (208) 996-0828
Organization SubpartNo
Authorized OfficialCamarin LawlorOwner/speech-language Pathologist · (619) 228-6060
Enumeration DateJanuary 21, 2021
Last NPPES UpdateJune 1, 20214 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1104416288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4696 W OVERLAND RD STE 232, Boise, ID 83705

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idaho Speech & Swallow Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Idaho Speech & Swallow Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Qualified Speech Language Pathologist
NPI 1548635436
4696 W OVERLAND RD STE 232
Boise, ID 83705
(208) 996-0828
Same address
Qualified Speech Language Pathologist
NPI 1790577658
6001 W STATE ST STE C
Boise, ID 83703
(208) 996-0828
4.9 mi
Qualified Speech Language Pathologist
NPI 1861161762
4110 EATON AVE STE B
Caldwell, ID 83607
(208) 402-5735
21 mi

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

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 Idaho Speech & Swallow Services's NPI number?

The NPI number for Idaho Speech & Swallow Services is 1104416288. It was assigned to this organization in the NPPES registry on January 21, 2021.

Where is Idaho Speech & Swallow Services located?

Idaho Speech & Swallow Services is located at 4696 W Overland Rd Ste 232, Boise, ID 83705. The listed phone number is (208) 996-0828.

What is Idaho Speech & Swallow Services's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Idaho Speech & Swallow Services enrolled in Medicare?

Yes. Idaho Speech & Swallow Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Speech & Swallow Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Qualified Speech Language Pathologist, reassign their Medicare billing to Idaho Speech & Swallow Services. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idaho Speech & Swallow Services accept?

Health plans from Molina Healthcare list Idaho Speech & Swallow Services 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 Idaho Speech & Swallow Services was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.