1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Counselor
  6. NPI Profile

DYNISHA SMITH LPC
NPI 1679172472
Counselor - Professional in Boise, ID

Active since October 22, 2020PECOS EnrolledAccepts Medicare Assignment
9277 W SHOUP AVE, BOISE, ID 83709(208) 724-5970 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dynisha Smith Lpc NPPES

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

DYNISHA SMITH LPC (NPI 1679172472) is an individual professional provider in Boise, Idaho, licensed in Idaho (LPC-7877) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679172472
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDYNISHA SMITHCredential: LPC
Location Address9277 W SHOUP AVEBoise, ID 83709-0557
Mailing Address9277 W Shoup AveBoise, ID 83709-0557 · (208) 724-5970
Phone(208) 724-5970
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1679172472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LPC-7877
9277 W SHOUP AVE, Boise, ID 83709
Open in Google Maps ↗

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 and accepts Medicare assignment

Dynisha Smith Lpc 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 ID7113361965
PECOS Enrollment IDI20240327001525
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 Dynisha Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Free Fallin LLC
4.3 mi
Mental Health
3676 N HARBOR LN
Boise, ID 83703
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1932844131 (208) 761-0533

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
60 services12 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

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 Dynisha Smith's NPI number?

The NPI number for Dynisha Smith is 1679172472. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Where is Dynisha Smith located?

Dynisha Smith practices at 9277 W Shoup Ave, Boise, ID 83709. The listed phone number is (208) 724-5970.

What is Dynisha Smith's specialty?

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

Is Dynisha Smith enrolled in Medicare?

Yes. Dynisha Smith 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.

Which organization bills Medicare for Dynisha Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dynisha Smith reassigns Medicare benefits to Free Fallin 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 Dynisha Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dynisha Smith accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Dynisha 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 Dynisha Smith was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.