Patricia Ann Factor, MFT
Individual provider Active NPI Marriage & Family Therapist · Sandpoint, ID
NPI 1508911744 · NPPES record last updated Feb 14, 2023
Key facts
- NPI
- 1508911744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT-6025 (ID)
- Practice address
- 514 N 4TH Ave
Sandpoint, ID 83864-1513 - Phone
- (310) 795-7526
- Fax
- (208) 265-2301
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
506 N 4TH Ave
Sandpoint, ID 83864-1513
514 N 4TH Ave
Sandpoint, ID 83864-1513
Phone (310) 795-7526
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260623004250 | ID | Practitioner - Marriage and Family Therapist | 5193905354 | Practice locations: Sandpoint, ID |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC28386 | CA | MD | Marriage & Family Therapist |
| LMFT-6025 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandpoint Psychotherapy LLC | Multi-Specialty | Current |
Accepting new patients |
Locations
506 N Fourth Ave
Sandpoint, ID 83864
Phone (208) 263-5393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC28386 | CA | |
| Marriage & Family Therapist |
106H00000X | LMFT-6025 | ID | Yes |
Addresses
Primary practice location
514 N 4TH Ave
Sandpoint, ID 83864-1513
Mailing address
506 N 4TH Ave
Sandpoint, ID 83864-1513
Phone (310) 795-7526
Other providers in Sandpoint, ID
- Meredith Rae Evensen-Lynch
- Evergreen Idaho Healthcare Sandpoint, L.L.C.
- Eye Care for You
- Eye Clinic of Sandpoint PA
- Eye Clinic of Sandpoint PA
- John McLain Faggard III
- Family Center for Occupational Therapy
- Far North Pediatrics
- Deborah K Faude
- Pearl Dawn Faux
All providers in Sandpoint, 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 Feb 14, 2023. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.