Active NPI
Takoma Lindsay, PHD
- Marriage & Family Therapist
- Idaho Falls, ID
National Provider Identifier
1922862507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2871447
- Practice address
- 3940 Washington Pkwy
Idaho Falls, ID 83404-7596 - Phone
- (208) 252-5545
- NPI assigned
- Feb 13, 2024
- Last updated
- Apr 14, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 12439475-3904 | UT | |
| Marriage & Family Therapist | 106H00000X | 2871447 | ID | Primary |
Addresses
Primary practice location
3940 Washington Pkwy
Idaho Falls, ID 83404-7596
Mailing address
2666 Lavender Dr
Idaho Falls, ID 83401-6256
Phone (208) 252-5545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 25, 2025 through Mar 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2871447 | ID | MD | Marriage & Family Therapist |
| 12439475-3904 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Takoma Lindsay Counseling, LLC | Current | Accepting new patients |
Locations
3940 Washington Pkwy
Idaho Falls, ID 83404
Phone (208) 252-5545
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba True Connection: Couple and Family Counseling of Idaho
- Adult Mental Health Clinic/Center
- Idaho Falls, ID
- NPI 1639063639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1922862507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2666 LAVENDER DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834016256",
"telephone_number": "208-252-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 WASHINGTON PKWY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047596",
"telephone_number": "208-252-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSAY",
"first_name": "TAKOMA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-13",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "12439475-3904",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "2871447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.