LILLIAN BENGTSON SE
NPI 1225601214
Psychologist in Pocatello, ID

Active since July 19, 2021PECOS EnrolledAccepts Medicare Assignment
500 S 11TH AVE STE 400, POCATELLO, ID 83201(208) 232-7862 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2025, Jun 16, 2023, Jul 19, 2021 (3 updates tracked since 2021).

About Lillian Bengtson Se NPPES

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

LILLIAN BENGTSON SE (NPI 1225601214) is an individual psychologist in Pocatello, Idaho, licensed in Idaho (9871578) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225601214
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLILLIAN BENGTSONCredential: SE
Location Address500 S 11TH AVE STE 400Pocatello, ID 83201-4880
Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 19, 2021
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
NPI 1225601214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ID · 9871578
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License SE203528 (ID)
500 S 11TH AVE STE 400, Pocatello, ID 83201

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

Lillian Bengtson Se 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 ID8426553025
PECOS Enrollment IDI20250924004359
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 7

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

Social Worker (Clinical)
500 S 11TH AVE STE 400
POCATELLO, ID 83201
Physician Assistant (Medical)
500 S 11TH AVE STE 400
POCATELLO, ID 83201
Nurse Practitioner (Psychiatric/Mental Health)
500 S 11TH AVE STE 400
POCATELLO, ID 83201
Counselor (Mental Health)
500 S 11TH AVE STE 400
POCATELLO, ID 83201
Psychologist
500 S 11TH AVE STE 400
POCATELLO, ID 83201
Nurse Practitioner (Family)
500 S 11TH AVE STE 400
POCATELLO, ID 83201
Pharmacist
500 S 11TH AVE STE 400
POCATELLO, ID 83201

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 Lillian Bengtson's NPI number?

The NPI number for Lillian Bengtson is 1225601214. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Lillian Bengtson located?

Lillian Bengtson practices at 500 S 11th Ave Ste 400, Pocatello, ID 83201. The listed phone number is (208) 232-7862.

What is Lillian Bengtson's specialty?

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

Is Lillian Bengtson enrolled in Medicare?

Yes. Lillian Bengtson 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 Lillian Bengtson was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.