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MS. KRISTY LEE BRONCHO LCSW
NPI 1932323045
Social Worker - Clinical in Fort Hall, ID

Active since April 12, 2007Opted out of Medicare · through Oct 1, 2026
MISSION ROAD BLDING 248, FORT HALL INDIAN AGENCY, FORT HALL, ID 83203(208) 237-5631(208) 237-5796 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kristy Lee Broncho Lcsw NPPES

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

MS. KRISTY LEE BRONCHO LCSW (NPI 1932323045) is an individual clinical provider in Fort Hall, Idaho, licensed in Idaho (LCSW-24506) and active in the NPI registry since April 2007. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1932323045
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KRISTY LEE BRONCHOCredential: LCSW
Location AddressMISSION ROAD BLDING 248, FORT HALL INDIAN AGENCYFort Hall, ID 83203
Mailing AddressRr 6 Box 918Pocatello, ID 83202-9549 · (208) 637-8032
Phone(208) 237-5631
Fax(208) 237-5796
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateOctober 10, 2018
✔ NPI 1932323045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LCSW-24506
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
MISSION ROAD BLDING 248, Fort Hall, ID 83203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kristy Lee Broncho Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

JESSIE A BACON LCSW
Social Worker (Clinical)
MISSION ROAD BLDING 248, FORT HALL INDIAN AGENCY
FORT HALL, ID 83203
Bingham County (208) 237-5631

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 Kristy Broncho's NPI number?

The NPI number for Kristy Broncho is 1932323045. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Kristy Broncho located?

Kristy Broncho practices at Mission Road Blding 248 Fort Hall Indian Agency, Fort Hall, ID 83203. The listed phone number is (208) 237-5631.

What is Kristy Broncho's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristy Broncho enrolled in Medicare?

No. Kristy Broncho has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristy Broncho was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.