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ONTAYA ACEDO LMSW
NPI 1104436062
Social Worker - Clinical in Pocatello, ID

Active since August 05, 2020PECOS EnrolledAccepts Medicare Assignment
151 N 3RD AVE STE 330, POCATELLO, ID 83201(208) 242-3771 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2025, Aug 5, 2020 (2 updates tracked since 2020).

About Ontaya Acedo Lmsw NPPES

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

ONTAYA ACEDO LMSW (NPI 1104436062) is an individual clinical provider in Pocatello, Idaho, licensed in Idaho (8861355) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104436062
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameONTAYA ACEDOCredential: LMSW
Location Address151 N 3RD AVE STE 330Pocatello, ID 83201-6369
Mailing Address151 N 3rd Ave Ste 330Pocatello, ID 83201-6369
Phone(208) 242-3771
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 5, 2020
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1104436062 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 · 8861355
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 LMSW-39736 (ID)
151 N 3RD AVE STE 330, Pocatello, ID 83201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.Insurance ›

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

Ontaya Acedo Lmsw 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 ID3870022411
PECOS Enrollment IDI20250127000526
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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 19

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

JAIME WEIDNER
Technician, Other
151 N 3RD AVE STE 330
POCATELLO, ID 83201
Bannock County (208) 242-3771
ALISON NICOLE RIDER LCSW
Social Worker (Clinical)
151 N 3RD AVE STE 330
POCATELLO, ID 83201
Bannock County (208) 242-3771
KELLI SPAULDING LMSW
Social Worker
151 N 3RD AVE STE 330
POCATELLO, ID 83201
Bannock County (208) 242-3771
AMILLIA MITCHELL
Case Manager/Care Coordinator
151 N 3RD AVE STE 330
POCATELLO, ID 83201
Bannock County (208) 240-3955
KINZY BURROWS
Technician, Other
151 N 3RD AVE STE 330
POCATELLO, ID 83201
Bannock County (208) 242-3771
ANDREW TOLEDO
Technician, Other
151 N 3RD AVE STE 330
POCATELLO, ID 83201
Bannock County (208) 242-3771
JOSHUA WARD TRACY LMSW
Social Worker
151 N 3RD AVE STE 330
POCATELLO, ID 83201
Bannock County (208) 244-8771
TAURA GRAYBILL
Technician, Other
151 N 3RD AVE STE 330
POCATELLO, ID 83201
Bannock County (208) 242-3771

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 Ontaya Acedo's NPI number?

The NPI number for Ontaya Acedo is 1104436062. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Ontaya Acedo located?

Ontaya Acedo practices at 151 N 3rd Ave Ste 330, Pocatello, ID 83201. The listed phone number is (208) 242-3771.

What is Ontaya Acedo's specialty?

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

Is Ontaya Acedo enrolled in Medicare?

Yes. Ontaya Acedo 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.

What insurance does Ontaya Acedo accept?

Health plans from Moda Health Plan, Inc. and Select Health list Ontaya Acedo 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 Ontaya Acedo was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.