Cameron S. Baxter, LMFT
Individual provider Active NPI Marriage & Family Therapist · Idaho Falls, ID
NPI 1700337284 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1700337284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT-7529 (ID)
- Practice address
- 211 S Woodruff Ave Ste B7
Idaho Falls, ID 83401-4866 - Phone
- (208) 604-6489
- NPI assigned
- Oct 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-7529 | ID | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-7529 | ID | Yes |
Addresses
Primary practice location
211 S Woodruff Ave Ste B7
Idaho Falls, ID 83401-4866
Mailing address
211 S Woodruff Ave Ste B7
Idaho Falls, ID 83401-4866
Phone (208) 479-5402
Other practice location 1
343 E 4th N Ste 234
Rexburg, ID 83440-6009
Phone (208) 604-6489
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All providers in Idaho Falls, 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 Jun 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.