Active NPI
Cindy Gordon Fox, LMFT
- Marriage & Family Therapist
- Boise, ID
National Provider Identifier
1770602740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT 3713
- Practice address
- 106 N 6TH St
Suite 206
Boise, ID 83702-5992 - Phone
- (208) 429-1495
- Fax
- (208) 429-1410
- NPI assigned
- Mar 28, 2007
- Last updated
- Apr 2, 2008
- 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 | LMFT 3713 | ID | Primary |
Addresses
Primary practice location
106 N 6TH St
Suite 206
Boise, ID 83702-5992
Mailing address
106 N 6TH St
Suite 206
Boise, ID 83702-5992
Phone (208) 429-1495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q7416 | Other | ID | BLUE CROSS PROVIDER NUMBE |
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 |
|---|---|---|---|
| LMFT 3713 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1770602740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 N 6TH ST",
"address_2": "SUITE 206",
"city": "BOISE",
"state": "ID",
"postal_code": "837025992",
"telephone_number": "208-429-1495",
"fax_number": "208-429-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 N 6TH ST",
"address_2": "SUITE 206",
"city": "BOISE",
"state": "ID",
"postal_code": "837025992",
"telephone_number": "208-429-1495",
"fax_number": "208-429-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "CINDY",
"middle_name": "GORDON",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT 3713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "Q7416",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.