MARK CALDWELL SMITH LPC - 9657
NPI 1770273534
Counselor in Boise, ID

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
5503 W KENDALL ST, BOISE, ID 83706(208) 912-7362 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 3, 2023, May 15, 2023 (2 updates tracked since 2023).

About Mark Caldwell Smith Lpc - 9657 NPPES

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

MARK CALDWELL SMITH LPC - 9657 (NPI 1770273534) is an individual counselor in Boise, Idaho, licensed in Idaho (LPC-9657) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770273534
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMARK CALDWELL SMITHCredential: LPC - 9657
Location Address5503 W KENDALL STBoise, ID 83706-1240
Mailing Address775 W Nannyberry StKuna, ID 83634-5575 · (208) 391-8927
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 15, 2023
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1770273534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in ID · LPC-9657
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5503 W KENDALL ST, Boise, ID 83706

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 and accepts Medicare assignment

Mark Caldwell Smith Lpc - 9657 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 ID7618328881
PECOS Enrollment IDI20240111004579
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 2

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

Counselor (Mental Health)
5503 W KENDALL ST
BOISE, ID 83706
Counselor (Mental Health)
5503 W KENDALL ST
BOISE, ID 83706

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 Mark Smith's NPI number?

The NPI number for Mark Smith is 1770273534. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Mark Smith located?

Mark Smith practices at 5503 W Kendall St, Boise, ID 83706. The listed phone number is (208) 912-7362.

What is Mark Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Mark Smith enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Smith accept?

Health plans from Moda Health Plan, Inc. and Select Health list Mark 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 Mark Smith was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.