Healthcare Provider Details

I. General information

NPI: 1568326536
Provider Name (Legal Business Name): CAMPFIRE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 BLUE RIDGE CT
OROFINO ID
83544-9019
US

IV. Provider business mailing address

232 BLUE RIDGE CT
OROFINO ID
83544-9019
US

V. Phone/Fax

Practice location:
  • Phone: 208-305-5386
  • Fax: 844-306-1563
Mailing address:
  • Phone: 208-305-5386
  • Fax: 844-306-1563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT M. SCHMIDT
Title or Position: CLINICIAN
Credential: LCSW, CADC
Phone: 208-305-5386