Active NPI
Cathleen Vicini, MFT, PSY.D.
- Marriage & Family Therapist
- Eagle, ID
National Provider Identifier
1639054471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3471962
- Practice address
- 1093 E Iron Eagle Dr Ste 125
Eagle, ID 83616-6004 - Phone
- (208) 800-2207
- NPI assigned
- Aug 11, 2025
- 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 | 3471962 | ID | Primary |
Addresses
Primary practice location
1093 E Iron Eagle Dr Ste 125
Eagle, ID 83616-6004
Mailing address
12113 N Upper Ridge PL
Boise, ID 83714-9324
Phone (707) 888-8685
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3471962 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1639054471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12113 N UPPER RIDGE PL",
"city": "BOISE",
"state": "ID",
"postal_code": "837149324",
"telephone_number": "707-888-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1093 E IRON EAGLE DR STE 125",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166004",
"telephone_number": "208-800-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICINI",
"first_name": "CATHLEEN",
"credential": "MFT, PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "3471962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.