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Active NPI 1114753225 Individual Practitioner Male Practitioner

Blake Smith , LPC

Counselor - Professional • Boise, ID

Professional Overview & Biography Verified Profile Summary

Blake Smith, LPC is a registered healthcare professional specializing in Counselor - Professional in Boise, ID. Practice services are available at 9196 W EMERALD ST STE 130 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9196 W Emerald St Ste 130

Boise, ID 837048003

Telephone 2083234400

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
383 Specialists

Practicing in Boise, ID (1223 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-18
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License ID 9771552

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Justin Barnes , LPC

Counselor - Mental Health

NPI 1124539408

Licensed Professional Counselor

Myja Maki , LMSW

Social Worker - Clinical

NPI 1225531163

Licensed Master Social Worker

Alicia Path , LMSW

Social Worker

NPI 1295318012

Licensed Master Social Worker

Kyle Alegria , LCSW

Social Worker - Clinical

NPI 1316414873

Licensed Clinical Social Worker

Brandon Lheureux , BS

Community Health Worker

NPI 1376372847

Bachelor of Science

Kristin Person Staley

Counselor - Professional

NPI 1457878258

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address April 18, 2026

Registered at 9196 W EMERALD ST STE 130, BOISE, ID 837048003 (Tel: 2083234400)

📍
Updated Practice Location April 07, 2026

Registered at 9196 W EMERALD ST STE 130, BOISE, ID 837048003 (Tel: 2083234400)

👤
Provider Name / Credentials Updated April 07, 2026

Recorded as BLAKE SMITH, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2026

Counselor (License #9771552 in ID)

NPI Profile Active September 13, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2024

Registered at 740 E WARM SPRINGS AVE, BOISE, ID 837126420 (Tel: 2083437797)

📍
Updated Business Mailing Address September 13, 2024

Registered at 2551 SUNNY RIDGE RD APT 104, NAMPA, ID 836867568 (Tel: 2089893538)

👤
Provider Name / Credentials Updated September 13, 2024

Recorded as BLAKE SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 13, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114753225
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2024
Last Update: April 18, 2026
Sole Proprietor: Yes

Mailing Address

9196 W Emerald St Ste 130

Boise, ID 837048003

Phone: 2083234400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.