Jena Farid, LMFT
Individual provider Active NPI Marriage & Family Therapist · Coeur D Alene, ID
NPI 1013177567 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1013177567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT-8584 (ID)
- Practice address
- 2101 N Lakewood Dr Ste 222
Coeur D Alene, ID 83814-2473 - Phone
- (208) 274-3320
- NPI assigned
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 18, 2025 through Jul 18, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT125510 | CA | MD | Marriage & Family Therapist |
| LMFT-8584 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant Christian Counseling, LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
2101 N Lakewood Dr
Ste 222
Coeur D Alene, ID 83814
Phone (208) 274-3320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT125510 | CA | |
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist |
106H00000X | LMFT-8584 | ID | Yes |
Addresses
Primary practice location
2101 N Lakewood Dr Ste 222
Coeur D Alene, ID 83814-2473
Mailing address
2101 N Lakewood Dr Ste 222
Coeur D Alene, ID 83814-2473
Phone (208) 274-3320
Other names
- Jena Castle
Other providers in Coeur D Alene, ID
- Family Support Services
- Family Support Services of North Idaho
- Family Support Services of North Idaho
- Family Support Services of North Idaho
- Family Support Services of North Idaho
- Megan Farley
- Kristina Farmin
- Robert C. Farr
- Jennifer Anne Farwell
- Casey John Fatz
All providers in Coeur D Alene, ID · Marriage & Family Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.