P Praxis·MD
● Active Type 1 · Individual

MR. Jefferson H Kraczek, LCSW

Counselor·MacKay, ID· NPI 1093087033 · Enumerated 2012 · 14 years on NPI
Kraczek is 1 of 1 counselor providers in MacKay and 1 of 1998 in Idaho.
NPI age
14 years
Enumerated 2012-02-07
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-02Enumerated in NPPES
2012 2026

Where they practice

Practice location
4433 Beverland Road
MacKay, ID 832518048
📞 2085882770fax 2085882984
Mailing address
Po Box 402
MacKay, ID 832510402
📞 2085882770fax 2085882984

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCSW27821 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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