JEFFREY CALDERON SOTO SR. LPC
NPI 1912790080
Counselor - Mental Health in Sandpoint, ID

Q: What is Jeffrey Calderon Soto's NPI number?

The NPI number for Jeffrey Calderon Soto is 1912790080. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Q: What is Jeffrey Calderon Soto's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since May 22, 2025PECOS Enrolled

1033 BALDY MOUNTAIN RD, SANDPOINT, ID 83864(208) 290-5151 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Jeffrey Calderon Soto Sr. Lpc NPPES

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

JEFFREY CALDERON SOTO SR. LPC (NPI 1912790080) is an individual mental health provider in Sandpoint, Idaho, licensed in Idaho (3171665) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1912790080

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJEFFREY CALDERON SOTO SR.Credential: LPC

Location Address1033 BALDY MOUNTAIN RDSandpoint, ID 83864-9202

Mailing Address2416 Sand Creek Ln Apt ASandpoint, ID 83864-8934 · (208) 290-4145

Phone(208) 290-5151

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 22, 2025

NPPES CertifiedMay 22, 2025

✔ NPI 1912790080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in ID · 3171665

1033 BALDY MOUNTAIN RD, Sandpoint, ID 83864

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Calderon Soto Sr. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204348014

PECOS Enrollment IDI20250625003726

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.

Leave this field empty

Other Providers at the Same Location NPPES 7

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

SUSANNE WIMBERLEY LMSW

Social Worker