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CHESTER C MARDIS LCPC
NPI 1114203031
Counselor - Mental Health in Twin Falls, ID

Active since October 24, 2011PECOS EnrolledAccepts Medicare Assignment
1373 FILLMORE ST, TWIN FALLS, ID 83301(208) 737-9999 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 12, 2026, Jul 22, 2026 (2 updates tracked since 2026).

About Chester C Mardis Lcpc NPPES

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

CHESTER C MARDIS LCPC (NPI 1114203031) is an individual mental health provider in Twin Falls, Idaho, licensed in Idaho (LCPC5490) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1114203031
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHESTER C MARDISCredential: LCPC
Location Address1373 FILLMORE STTwin Falls, ID 83301-3392
Mailing Address1373 Fillmore StTwin Falls, ID 83301-3392 · (208) 737-9999 · Fax (208) 736-4400
Phone(208) 737-9999
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 24, 2011
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1114203031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC5490
1373 FILLMORE ST, Twin Falls, ID 83301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chester C Mardis Lcpc 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 ID648613026
PECOS Enrollment IDI20240213003037
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 Chester Mardis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Positive Connections Plus, LLC
Same address
Counselor
1373 FILLMORE ST
Twin Falls, ID 83301
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: Positive Connections LLC
  • 7 clinicians in this Medicare group
NPI 1942301106 (208) 737-9999

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

Other Providers at the Same Location NPPES 20

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

CYNTHIA LYNN OPDYCKE MSW, LCSW
Social Worker (Clinical)
1373 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 737-9999
DANIELLE HUMAN LCSW
Social Worker (Clinical)
1373 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 737-9999
POSITIVE CONNECTIONS PLUS, LLC
Counselor
1373 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 737-9999
MS. TARA L STAUFFER
Counselor
1373 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 737-9999
RAVAE MINTON MSW, LCSW
Social Worker (Clinical)
1373 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 737-9999
MARY HELEN ORDWAY LMSW
Social Worker
1373 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 737-9999
MR. RAYMOND JOHN HOLT JR. LPC
Counselor
1373 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 737-9999
KENNETH BURNHAM LMSW
Social Worker (Clinical)
1373 FILLMORE ST
TWIN FALLS, ID 83301
Twin Falls County (208) 737-9999

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 Chester Mardis's NPI number?

The NPI number for Chester Mardis is 1114203031. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is Chester Mardis located?

Chester Mardis practices at 1373 Fillmore St, Twin Falls, ID 83301. The listed phone number is (208) 737-9999.

What is Chester Mardis's specialty?

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

Is Chester Mardis enrolled in Medicare?

Yes. Chester Mardis 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.

Which organization bills Medicare for Chester Mardis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chester Mardis reassigns Medicare benefits to Positive Connections Plus, LLC (Twin Falls, ID). 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 Chester Mardis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chester Mardis accept?

Health plans from Molina Healthcare and Select Health list Chester Mardis 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 Chester Mardis was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.