SAMUEL CLEMENS LCSW
NPI 1487267852
Counselor - Mental Health in Kuna, ID
About Samuel Clemens Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL CLEMENS LCSW (NPI 1487267852) is an individual mental health provider in Kuna, Idaho, licensed in Idaho (LMSW-39917) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
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)
Samuel Clemens Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KUNA, ID 83634
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 Samuel Clemens's NPI number?
The NPI number for Samuel Clemens is 1487267852. It was assigned to this individual provider in the NPPES registry on August 26, 2020.
Where is Samuel Clemens located?
Samuel Clemens practices at 190 W Main St, Kuna, ID 83634. The listed phone number is (208) 598-8442.
What is Samuel Clemens's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Samuel Clemens enrolled in Medicare?
Yes. Samuel Clemens is registered in the Medicare PECOS enrollment system.
What insurance does Samuel Clemens accept?
Health plans from Moda Health Plan, Inc. list Samuel Clemens 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 Samuel Clemens was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Samuel Clemens, LCSW · NPI 1487267852
Mental Health provider in Kuna, Idaho. Individual provider, active in the CMS NPPES registry since August 26, 2020.
## Identity
- **NPI:** 1487267852 (Entity type: Individual)
- **Enumerated:** August 26, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LMSW-39917 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 190 W MAIN ST, Kuna, ID 83634-2702
- **Phone:** (208) 598-8442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1487267852) · Data from the CMS NPPES public registry.