Active NPI
Janna Thompson
- Marriage & Family Therapist
- Moscow, ID
National Provider Identifier
1942037916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTI-10655
- Practice address
- 316 S Jefferson St
Moscow, ID 83843-2936 - Phone
- (208) 883-1144
- NPI assigned
- Sep 16, 2024
- Last updated
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTI-10655 | ID | Primary |
Addresses
Primary practice location
316 S Jefferson St
Moscow, ID 83843-2936
Mailing address
8814 E Parkside LN
Spokane, WA 99217-9482
Phone (951) 965-9894
Other names 1
- Janna Corby-Potter
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTI-10655 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomin Family Therapy, LLC | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moscow, ID
- NPI 1457036436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1942037916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8814 E PARKSIDE LN",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992179482",
"telephone_number": "951-965-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 S JEFFERSON ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432936",
"telephone_number": "208-883-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "MFTI-10655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANNA",
"last_name": "CORBY-POTTER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moscow, ID
- The Uma Center, LLC (Uma Center)
- The Volunteer Fire Department of Moscow, Idaho Inc. (Moscow Volunteer Emergency Ambulance Company)
- Glenda Dorman Thie, PT
- Jay T Thiemann, ST
- Tiffany Michele Thomas, PHARMD
- Mariah Thorpe
- Thrifty Payless Inc (Rite Aid Pharmacy 05421)
- Savannah Tiedeman-Mueller
- Robert Manuel Ting, MD
- Kristen Topliff, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.