SAMANTHA CICERO LPC
NPI 1225720717
Counselor - Professional in Boise, ID
About Samantha Cicero Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA CICERO LPC (NPI 1225720717) is an individual professional provider in Boise, Idaho, licensed in Idaho (8331513) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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)
Samantha Cicero Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Samantha Cicero's NPI number?
The NPI number for Samantha Cicero is 1225720717. It was assigned to this individual provider in the NPPES registry on May 23, 2023.
Where is Samantha Cicero located?
Samantha Cicero practices at 6305 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 559-0410.
What is Samantha Cicero's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Samantha Cicero enrolled in Medicare?
Yes. Samantha Cicero is registered in the Medicare PECOS enrollment system.
What insurance does Samantha Cicero accept?
Health plans from Moda Health Plan, Inc. and Select Health list Samantha Cicero 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 Samantha Cicero was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Samantha Cicero, LPC · NPI 1225720717
Professional provider in Boise, Idaho. Individual provider, active in the CMS NPPES registry since May 23, 2023.
## Identity
- **NPI:** 1225720717 (Entity type: Individual)
- **Enumerated:** May 23, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 8331513 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6305 W OVERLAND RD, Boise, ID 83709-3029
- **Phone:** (208) 559-0410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** June 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225720717) · Data from the CMS NPPES public registry.