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Active NPI 1770273534 Individual Practitioner Male Practitioner

Mark Caldwell Smith , LPC

Counselor • Boise, ID

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mark Smith, LPC is a certified Counselor practicing in Boise, ID. With approximately 3 years of clinical experience since completing medical education in 2023, Mark Smith delivers high-quality medical care to the local community at 5503 W KENDALL ST.

Mark Smith is affiliated with Osprey Counseling and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

5503 W Kendall St

Boise, ID 837061240

Telephone 2089127362
Associated Practice Facility / Clinic
🏢 Osprey Counseling Facility NPI 1427755420

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Boise, ID

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -7.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
145 Specialists

Practicing in Boise, ID (507 Statewide)

Telehealth Adoption Rate
2.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (3 Years) 3 Yrs
Boise Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-07-03
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License ID LPC-9657

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Hospital & Practice Group Affiliations

Osprey Counseling

5503 W Kendall St, Boise, ID 837061240

Phone: 2082303351

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated July 03, 2023

Recorded as MARK SMITH, LPC - 9657

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2023

Counselor (License #LPC-9657 in ID)

NPI Profile Active May 15, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2023

Registered at 5503 W KENDALL ST, BOISE, ID 837061240 (Tel: 2089127362)

📍
Updated Business Mailing Address May 15, 2023

Registered at 775 W NANNYBERRY ST, KUNA, ID 836345575 (Tel: 2083918927)

👤
Provider Name / Credentials Updated May 15, 2023

Recorded as MARK SMITH, COUI-9471

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2023

Counselor (License #COUI-9471 in ID)

🟢
Initial NPI Registration & Enumeration May 15, 2023

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: 1770273534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2023
Last Update: July 03, 2023
Sole Proprietor: No

Mailing Address

775 W Nannyberry St

Kuna, ID 836345575

Phone: 2083918927

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.