Martice Fontes

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LAMFT-5182 Issued in ID

Practice address

2271 Overland Ave Ste 5
Burley, ID 83318-2957

Phone

(208) 678-9114

Fax

(208) 678-8989

NPI assigned

Apr 15, 2014

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1831518976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 OVERLAND AVE STE 5",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182957",
            "telephone_number": "208-678-9114",
            "fax_number": "208-678-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 OVERLAND AVE STE 5",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182957",
            "telephone_number": "208-678-9114",
            "fax_number": "208-678-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTES",
        "first_name": "MARTICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LAMFT-5182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376561274",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Health Services Corporation (Family Health Services)
• Family Health Services Corporation (Family Health Services)
• Casten R Fischer, DO
• Frederick B Fitts Jr., MD
• Miden Yosune Narvaiza Fitzhugh Fierro
• Jason Forgeon, MD
• Vanessa Foster
• Ashley J Fredrickson, CPSS
• Nathan Frohne, M.D.
• Leah Garey, MSCCC-SLP

• Marriage & Family Therapist in Burley, ID
• Providers in Burley, 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 Apr 15, 2014; 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.