Individual provider Active NPI

Sonia Fry, M.A. L/C.P.C. Q.P.

  • Mental Health Counselor
  • Twin Falls, ID
National Provider Identifier
1902233232
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC-4605 Issued in ID
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

LicenseStateTypeSpecialty
LCPC-4605IDMDMental Health Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCPC-4605 ID Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.