LEISA WATKINS (NPI# 1932636925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932636925 |
| Entity Type | Individual |
| Full Name | LEISA WATKINS |
| Credential | LMFT |
| Practice Address |
548 Lomax St Idaho Falls ID 83401-2634 |
| Practice Telephone | 2085520855 |
| Mailing Telephone | 2085243733 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT-7510 | ID | Behavioral Health & Social Service Providers |
| Street Address |
548 LOMAX ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710244371 | Laura Lee Shepherd Klosterman | Counselor | 548 Lomax St, Idaho Falls, ID 83401-2634 | 2012-04-19 |
| 1578024832 | Elizabeth Siler Loosli | Counselor | 548 Lomax St, Idaho Falls, ID 83401-2634 | 2019-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396941571 | David H. Ridley | Marriage & Family Therapist | 611 Hoopes Ave, Idaho Falls, ID 83401-6106 | 2007-06-25 |
| 1700944618 | Nedra Toponce | Marriage & Family Therapist | 144 Brookside Dr., Idaho Falls, ID 83404 | 2006-12-04 |
| 1629157797 | Joel Buxton | Marriage & Family Therapist | 2635 Channing Way, Suite B, Idaho Falls, ID 83404-7518 | 2006-11-02 |
| 1457453789 | Shawn L Thurber | Marriage & Family Therapist | 1675 Curlew Dr., Idaho Falls, ID 83406 | 2006-09-05 |
| 1548875958 | Brooke Alison Dybka | Marriage & Family Therapist | 2275 W Broadway St Ste G, Idaho Falls, ID 83402-2902 | 2020-09-11 |
| 1700337284 | Cameron S. Baxter | Marriage & Family Therapist | 2275 W Broadway St Ste G, Idaho Falls, ID 83402-2902 | 2016-10-19 |
| 1831516590 | Kelly Jianas | Marriage & Family Therapist | 1600 John Adams Pkwy Ste 102, Idaho Falls, ID 83401-4300 | 2014-03-19 |
| 1881823979 | Brandon M Buhler | Marriage & Family Therapist | 1975 Martha Ave, Idaho Falls, ID 83404-7580 | 2009-07-09 |
| 1629287354 | Matthew Sherman Youngberg | Marriage & Family Therapist | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2007-05-21 |
| 1851503049 | Spencer Todd Zitzman | Marriage & Family Therapist | 1600 John Adams Pkwy, Suite 102, Idaho Falls, ID 83401-4300 | 2007-05-03 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on LEISA WATKINS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.