Bo Smith
NPI 1104623784 · Mental Health Counselor · Blackfoot, ID
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bo Smith is a Mental Health Counselor provider in Blackfoot, ID (NPI 1104623784).
Provider details
- NPI number
- 1104623784
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3071150 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-28
- Last updated
- 2025-02-28
- Certified
- 2025-02-28
Frequently asked questions
- What is Bo Smith's NPI number?
- Bo Smith's National Provider Identifier (NPI) is 1104623784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bo Smith's specialty?
- Bo Smith is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Bo Smith located?
- Bo Smith's practice location on file with NPPES is 1309 Camas St, Blackfoot, ID 83221-3060.
- What is Bo Smith's phone number?
- The practice phone number listed in the NPPES registry for Bo Smith is (208) 782-0675.
- Does Bo Smith accept Medicare?
- Bo Smith is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bo Smith's NPI active?
- Yes — Bo Smith's NPI (1104623784) is active in the NPPES registry as of the last update on 2025-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.