Full Disclosure Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

FULL DISCLOSURE THERAPY

Practice address

172 S Academy Ave Ste 150
Eagle, ID 83616-6564

Phone

(208) 668-2701

NPI assigned

Oct 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie M Rodin, LMFTNPI 1033883558

Title

Owner

Phone

(310) 570-6897

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Marie Rodin, LMFT

  • Marriage & Family Therapist
  • W. Los Angeles, CA
  • NPI 1033883558
  NPD Authorized official

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1942021589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S NESKOWIN WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164964",
            "telephone_number": "310-570-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 S ACADEMY AVE STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166564",
            "telephone_number": "208-668-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Barrington Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "W Los Angeles",
            "state": "CA",
            "postal_code": "900255363",
            "country_code": "US",
            "telephone_number": "310-570-6897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULL DISCLOSURE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "RODIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-570-6897",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickolas Fransen, ACUPUNCTURIST
• James Robert Frisk, PHAMRACIST
• Tara Froelich
• Katelon Fry
• Kathryn Hinds Fuhriman, PA-C
• Martin J Gabica, MD
• Julissa Gama
• Alicia Garber, LCPC, LCMHC, LPC
• Alyssa Garcia
• Maria Garcia

• Marriage & Family Therapist in Eagle, ID
• Providers in Eagle, 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 Oct 17, 2024; 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.