P Praxis·MD
● Active Type 1 · Individual

MR. Bo Robert Smith

Counselor·Blackfoot, ID· NPI 1104623784 · Enumerated 2025 · 1 years on NPI
Smith is 1 of 15 counselor providers in Blackfoot and 1 of 1998 in Idaho.
NPI age
1 years
Enumerated 2025-02-28
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-28
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
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-02Enumerated in NPPES
2025 2026

Where they practice

Practice location
1309 Camas St
Blackfoot, ID 832213060
📞 2087820675
Mailing address
297 Pendlebury Ln Apt 1
Blackfoot, ID 832212815

Specialties

  • Counselor Primary
    Definition to come...
    ID license #3071150 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 17 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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