Tina Marie Fivecoat, THERAPY INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1655 W Fairview Ave Ste 209
Boise, ID 83702-5190

Phone

(208) 713-9724

NPI assigned

Jul 12, 2023

Last updated

Jul 12, 2023By 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

Other names 1

• Tina Marie Hunt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Morgan Mental Health Group LLC

  • Mental Health Counselor
  • Meridian, ID
  • NPI 1457993230
  NPD (past)

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1346929825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 N KINGSWOOD WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-713-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W FAIRVIEW AVE STE 209",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025190",
            "telephone_number": "208-713-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIVECOAT",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "THERAPY INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "HUNT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Fitzmaurice
• Anthony Duane Fitzpatrick, LAT, ATC
• Bridget Fitzpatrick
• Kimberly Lynn Fitzpatrick, RN
• Emma Fitzsimmons, MD
• Jeffrey G Flaker, PA
• Thailan Dwon Flanagan
• Emily Anne Flannery, MAL, LAT, ATC
• Shannon Renae Flatter
• Pamela Fleckenstein

• Marriage & Family Therapist in Boise, ID
• Providers in Boise, 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 Jul 12, 2023; 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.