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

Mark Caldwell Smith, LPC-9657

Individual provider Counselor · NPI 1770273534

Mark Caldwell Smith, LPC-9657 is a Mental Health Counselor in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Osprey Counseling, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
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Practice location Address checks out

5503 W Kendall St
Boise, ID 83706-1240
Phone: (208) 912-7362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LPC-9657 (ID)

Record details

NPI number1770273534
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-9657
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023
Mailing address775 W Nannyberry St, Kuna, ID 83634-5575

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Osprey Counseling — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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