Amanda Lee Thomas, MPHED, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFTI-4296 Issued in ID

Practice address

102 S 1St Ave Ste 202
Sandpoint, ID 83864-1398

Phone

(303) 775-1779

Fax

(208) 263-0951

NPI assigned

Nov 19, 2012

Last updated

Nov 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1235473992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S 1ST AVE STE 202",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641398",
            "telephone_number": "303-775-1779",
            "fax_number": "208-263-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 1ST AVE STE 202",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641398",
            "telephone_number": "303-775-1779",
            "fax_number": "208-263-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "MPHED, MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "MFTI-4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.