Ronald Cantone, PSY.D,LMFT
Individual provider Active NPI Counseling Psychologist · Twin Falls, ID
NPI 1992928394 · NPPES record last updated Sep 20, 2012
Key facts
- NPI
- 1992928394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- LMFT-2687 (ID)
- Practice address
- 493 Eastland Dr
Twin Falls, ID 83301-7480 - Phone
- (208) 732-0995
- Fax
- (208) 732-0993
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-2687 | ID | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LMFT-2687 | ID | Yes |
| Marriage & Family Therapist | 106H00000X | LMFT-2687 | ID |
Addresses
Primary practice location
493 Eastland Dr
Twin Falls, ID 83301-7480
Mailing address
493 Eastland Dr
Twin Falls, ID 83301-7480
Phone (208) 732-0995
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805997100 | Medicaid | ID | |
| 000010138522 | Other | ID | REGENCE BLUESHIELD |
| 481086633 | Other | ID | TAX IDENTIFICATION |
| 002082395 | Other | ID | FIRST HEALTH |
| Q7421 | Other | ID | BLUE CROSS OF IDAHO |
| X5952 | Other | ID | BLUE CROSS |
Other providers in Twin Falls, ID
- Stefani Lynne Campa-Macfee
- Logan Matthew Campbell
- Madison Christine Campbell
- Leanne Campeau
- Michael J Cannon
- Cathy White Canty
- Canyon Foot & Ankle Specialists PC
- Canyon Hand Therapy Inc.
- Canyon Primary Care LLC
- Canyon Springs Chiropractic Wellness Center PLLC
All providers in Twin Falls, ID · Counseling Psychologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.