MEDICARE: CAMPFIRE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1568326536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMPFIRE COUNSELING LLC

Provider Business Mailing Address
First Line	:	232 BLUE RIDGE CT
Second Line	:
City	:	OROFINO
State	:	ID
Zip	:	83544-9019
Country	:	US
Telephone Number	:	208-305-5386
Fax Number	:	844-306-1563

Provider Business Practice Location Address
First Line	:	232 BLUE RIDGE CT
Second Line	:
City	:	OROFINO
State	:	ID
Zip	:	83544-9019
Country	:	US
Telephone Number	:	208-305-5386
Fax Number	:	844-306-1563

Authorized Official
Title or Position	:	CLINICIAN
Name	:	MR. ROBERT M. SCHMIDT
Credential	:	LCSW, CADC
Telephone Number	:	208-305-5386

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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