Active NPI
Jane Frances Habermann, MA
- Marriage & Family Therapist
- Sandpoint, ID
National Provider Identifier
1174780019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3864
- Practice address
- 529 Cedar St
Sandpoint, ID 83864-1535 - Phone
- (208) 651-0253
- NPI assigned
- May 19, 2008
- Last updated
- May 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3864 | ID | Primary |
Addresses
Primary practice location
529 Cedar St
Sandpoint, ID 83864-1535
Mailing address
502 N 2ND Ave
Sandpoint, ID 83864-1558
Phone (208) 651-0253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3864 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1174780019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 N 2ND AVE",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641558",
"telephone_number": "208-651-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 CEDAR ST",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641535",
"telephone_number": "208-651-0253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABERMANN",
"first_name": "JANE",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "3864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.