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

MIKAELA OVERTON SMITH PHD
NPI 1154920429
Psychologist in Boise, ID

Active since October 19, 2020PECOS Enrolled
1075 E PARK BLVD, BOISE, ID 83712(208) 381-5970(208) 381-5971 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2026, Aug 22, 2024, Oct 19, 2020 (3 updates tracked since 2020).

About Mikaela Overton Smith Phd NPPES

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

MIKAELA OVERTON SMITH PHD (NPI 1154920429) is an individual psychologist in Boise, Idaho, licensed in Idaho (6261175) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154920429
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMIKAELA OVERTON SMITHCredential: PHD
Location Address1075 E PARK BLVDBoise, ID 83712-7722
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 381-5971
Sole ProprietorNo
Enumeration DateOctober 19, 2020
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1154920429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in ID · 6261175 Licensed in MI · 6352000475
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1075 E PARK BLVD, Boise, ID 83712

Other Names 1

Former Name (1)Mikaela Overton

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mikaela Overton Smith Phd 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.

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.

Counselor (Mental Health)
1075 E PARK BLVD
BOISE, ID 83712
Social Worker
1075 E PARK BLVD
BOISE, ID 83712
Counselor
1075 E PARK BLVD
BOISE, ID 83712
Counselor (Mental Health)
1075 E PARK BLVD
BOISE, ID 83712
Counselor (Professional)
1075 E PARK BLVD
BOISE, ID 83712
Nurse Practitioner (Psychiatric/Mental Health)
1075 E PARK BLVD
BOISE, ID 83712
Counselor (Mental Health)
1075 E PARK BLVD
BOISE, ID 83712
Social Worker (Clinical)
1075 E PARK BLVD
BOISE, ID 83712

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 Mikaela Overton Smith's NPI number?

The NPI number for Mikaela Overton Smith is 1154920429. It was assigned to this individual provider in the NPPES registry on October 19, 2020. The provider is also known as Mikaela Overton.

Where is Mikaela Overton Smith located?

Mikaela Overton Smith practices at 1075 E Park Blvd, Boise, ID 83712. The listed phone number is (208) 381-5970.

What is Mikaela Overton Smith's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mikaela Overton Smith enrolled in Medicare?

Yes. Mikaela Overton Smith is registered in the Medicare PECOS enrollment system.

What insurance does Mikaela Overton Smith accept?

Health plans from Moda Health Plan, Inc. list Mikaela Overton Smith 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 Mikaela Overton Smith was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.