MR. BO ROBERT SMITH NPI 1104623784

NPI Information

  • NPI: 1104623784
  • Provider Name: MR. BO ROBERT SMITH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1309 CAMAS ST
    BLACKFOOT, ID
    ZIP 83221
  • Phone: (208) 782-0675

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NPI Details

MR. Bo Robert Smith is a mental health counselor in Blackfoot, ID. MR. Bo Robert Smith NPI is 1104623784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1309 CAMAS ST
BLACKFOOT, ID
ZIP 83221-060
Phone: (208) 782-0675

The enumeration date for this NPI number is 2/28/2025 and was last updated on 2/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health3071150IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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