Blake Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9771552 Issued in ID

Practice address

9196 W Emerald St Ste 130
Boise, ID 83704-8003

Phone

(208) 323-4400

NPI assigned

Sep 13, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Home Society of Idaho

  • Mental Health Counselor
  • Boise, ID
  • NPI 1194834010
  NPD (past)
• Children'S Home Society of Idaho

  • General Practice Physician
  • Boise, ID
  • NPI 1285971416
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1114753225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9196 W EMERALD ST STE 130",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048003",
            "telephone_number": "208-323-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9196 W EMERALD ST STE 130",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048003",
            "telephone_number": "208-323-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BLAKE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "9771552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Bryce Smith
• Andrew Dillon Smith, DO
• Andria Lee Smith, MD
• Anna M Smith
• Anntara Smith, PA-C
• Brianna Smith, LM
• Britney Smith
• Caitlyn Louise Smith
• Cass R Smith, MD
• Chelsea Marie Smith

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.