Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dynisha Smith, LPC

Individual provider Professional Counselor · NPI 1679172472

Dynisha Smith, LPC is a Mental Health Counselor in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with Free Fallin LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

9277 W Shoup Ave
Boise, ID 83709-0557
Phone: (208) 724-5970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-7877 (ID)

Record details

NPI number1679172472
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 22, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address9277 W Shoup Ave, Boise, ID 83709-0557

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Free Fallin Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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