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

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: October 18, 2026.

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.

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
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Jeffrey Calderon Soto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boundary Regional Community Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
1033 BALDY MOUNTAIN RD
Sandpoint, ID 83864
  • Reassigned Medicare billing, Idaho enrollment
  • 29 clinicians in this Medicare group
NPI 1811054877 (208) 263-7101

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 8

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

ROBIN DOVE LPC
Counselor (Mental Health)
1033 BALDY MOUNTAIN RD
SANDPOINT, ID 83864
Bonner County (208) 930-5151
SUSANNE WIMBERLEY LMSW
Social Worker
1033 BALDY MOUNTAIN RD
SANDPOINT, ID 83864
Bonner County (208) 920-5151
ERIKA MCCALL
Case Manager/Care Coordinator
1033 BALDY MOUNTAIN RD
SANDPOINT, ID 83864
Bonner County (208) 920-5151
CALEB JESSE ORR LPC
Counselor (Mental Health)
1033 BALDY MOUNTAIN RD
SANDPOINT, ID 83864
Bonner County (208) 920-5151
JENNIFER LYNN ELLISON LPC
Counselor
1033 BALDY MOUNTAIN RD
SANDPOINT, ID 83864
Bonner County (208) 920-5151
JOSHUA AARON BARNES J.D., L.C.S.W.
Social Worker (Clinical)
1033 BALDY MOUNTAIN RD
SANDPOINT, ID 83864
Bonner County (208) 920-5151
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1033 BALDY MOUNTAIN RD
SANDPOINT, ID 83864
Bonner County (208) 263-7101
PAMELA M BROCKUS CPSS
Peer Specialist
1033 BALDY MOUNTAIN RD
SANDPOINT, ID 83864
Bonner County (208) 265-6252

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 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.

Where is Jeffrey Calderon Soto located?

Jeffrey Calderon Soto practices at 1033 Baldy Mountain Rd, Sandpoint, ID 83864. The listed phone number is (208) 290-5151.

What is Jeffrey Calderon Soto's specialty?

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

Is Jeffrey Calderon Soto enrolled in Medicare?

Yes. Jeffrey Calderon Soto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Calderon Soto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Calderon Soto reassigns Medicare benefits to Boundary Regional Community Health Center, Inc. (Sandpoint, 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 Jeffrey Calderon Soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Calderon Soto accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Jeffrey Calderon Soto 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 Jeffrey Calderon Soto was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.