PHILLIP SMITH
NPI 1992943385
Counselor - Mental Health in Lewiston, ID

Q: What is Phillip Smith's NPI number?

The NPI number for Phillip Smith is 1992943385. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Q: What is Phillip Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phillip Smith was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 23, 2009PECOS EnrolledAccepts Medicare Assignment

1203 IDAHO ST, LEWISTON, ID 83501(509) 444-8888 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Phillip Smith NPPES

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

PHILLIP SMITH (NPI 1992943385) is an individual mental health provider in Lewiston, Idaho, licensed in Idaho (LCPC-9211) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Clarkston, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1992943385

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NamePHILLIP SMITH

Location Address1203 IDAHO STLewiston, ID 83501-1940

Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932 · (509) 444-8888

Phone(509) 444-8888

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJanuary 23, 2009

Last NPPES UpdateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1992943385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in ID · LCPC-9211✔ Licensed in WA · 60022726

Also ListedCounselorTaxonomy 101Y00000X · License 6366 (ID)

1203 IDAHO ST, Lewiston, ID 83501

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Secondary Practice Location 1

Location 1900 7th StClarkston, WA 99403-2005 · Phone (509) 758-3341 ext. 2212 · Fax (509) 769-6057

Other Identifiers 1

Other60022726WA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Molina Healthcare, Premera Blue Cross Blue Shield of Alaska 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

Phillip Smith 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 ID4880037183

PECOS Enrollment IDI20240202002830

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 Phillip Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Association Of Spokane

Same address

Federally Qualified Health Center (FQHC)

1203 IDAHO ST
Lewiston, ID 83501

Reassigned Medicare billing, Idaho enrollment
33 clinicians in this Medicare group

NPI 1235372707 (509) 444-8888

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

45%113 patients2/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

18%113 patients1/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

2%113 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

8%113 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

VERONICA ROSE MUNDELL LCSW

Social Worker (Clinical)