MR. BEAU ALAN KOLODZIECZAK LPC
NPI 1255101929
Counselor - Professional in Boise, ID

Q: What is Beau Kolodzieczak's NPI number?

The NPI number for Beau Kolodzieczak is 1255101929. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Q: What is Beau Kolodzieczak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Beau Kolodzieczak was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 04, 2024PECOS Enrolled

148 S COLE RD, BOISE, ID 83709(208) 683-8320 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 14, 2026, Jul 10, 2025, Aug 8, 2024 and 2 more (5 updates tracked since 2024).

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About Mr. Beau Alan Kolodzieczak Lpc NPPES

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

MR. BEAU ALAN KOLODZIECZAK LPC (NPI 1255101929) is an individual professional provider in Boise, Idaho, licensed in Idaho (LPC-10609) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255101929

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. BEAU ALAN KOLODZIECZAKCredential: LPC

Location Address148 S COLE RDBoise, ID 83709-0932

Mailing Address148 S Cole RdBoise, ID 83709-0932 · (208) 683-8320 · Fax (208) 969-8380

Phone(208) 683-8320

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 4, 2024

Last NPPES UpdateJuly 14, 20265 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1255101929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ID · LPC-10609

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC-10609 (ID)

148 S COLE RD, Boise, ID 83709

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Secondary Practice Locations 4

Location 1496 Shoup Ave W Ste FTwin Falls, ID 83301-5043 · Phone (208) 683-8320

Location 2411 Main Street Unit GKamiah, ID 83536 · Phone (208) 683-8320

Location 3509 Trolley Way, Suite 104Middleton, ID 83644-6046 · Phone (208) 683-8320

Location 4213 N Main St Ste 1BMoscow, ID 83843-2700 · Phone (208) 683-8320

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Beau Alan Kolodzieczak Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951869825

PECOS Enrollment IDI20260820002930

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 Beau Kolodzieczak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

A Body & Mind Health Services, LLC

Same address

Mental Health

148 S COLE RD
Boise, ID 83709

Reassigned Medicare billing, Idaho enrollment
16 clinicians in this Medicare group

NPI 1326501305 (208) 683-8320

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.

CHELSEA LOUISE LAFEE LMSW

Social Worker

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

KENNA BOLEN LPC, CM, CBRS

Counselor (Professional)

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

SHARIAH MICHELLE PHILLIPS

Case Manager/Care Coordinator

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

BREAYDYN PAYGE ANGLIN

Case Manager/Care Coordinator

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

ALLISON NICOLE VAN DER VEEN

Case Manager/Care Coordinator

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

MIRANDA MURPHY

Student in an Organized Health Care Education/Training Program

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

JUDITH CARON LCSW

Social Worker (Clinical)

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

MADISON M HENSON

Social Worker

148 S COLE RD
BOISE, ID 83709

Ada County (208) 683-8320

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 Beau Kolodzieczak's NPI number?

The NPI number for Beau Kolodzieczak is 1255101929. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Beau Kolodzieczak located?

Beau Kolodzieczak practices at 148 S Cole Rd, Boise, ID 83709. The listed phone number is (208) 683-8320.

What is Beau Kolodzieczak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Beau Kolodzieczak enrolled in Medicare?

Yes. Beau Kolodzieczak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beau Kolodzieczak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beau Kolodzieczak reassigns Medicare benefits to A Body & Mind Health Services, LLC (Boise, 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 Beau Kolodzieczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beau Kolodzieczak accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Select Health list Beau Kolodzieczak 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 Beau Kolodzieczak was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.