Active NPI
Sonia Fry, M.A. L/C.P.C. Q.P.
- Mental Health Counselor
- Twin Falls, ID
National Provider Identifier
1902233232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC-4605
- Practice address
- 284 Martin St
Twin Falls, ID 83301-4542 - Phone
- (208) 733-7186
- Fax
- (208) 733-7178
- NPI assigned
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-4605 | ID | MD | Mental Health Counselor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC-4605 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
284 Martin St
Twin Falls, ID 83301-4542
Mailing address
284 Martin St
Twin Falls, ID 83301-4542
Phone (208) 733-7186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2013.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1902233232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 MARTIN ST",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014542",
"telephone_number": "208-733-7186",
"fax_number": "208-733-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 MARTIN ST",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014542",
"telephone_number": "208-733-7186",
"fax_number": "208-733-7178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "SONIA",
"name_prefix": "Ms.",
"credential": "M.A. L/C.P.C. Q.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCPC-4605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.