LYNETTE FOGG
NPI 1912335506
Counselor - Professional in Eagle, ID

Active since October 17, 2013
1191 E IRON EAGLE DR, SUITE 200, EAGLE, ID 83616(208) 286-2837 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lynette Fogg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNETTE FOGG (NPI 1912335506) is an individual professional provider in Eagle, Idaho, licensed in Idaho (LPC-5273) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1912335506
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLYNETTE FOGG
Location Address1191 E IRON EAGLE DR, SUITE 200Eagle, ID 83616-5148
Mailing Address1191 E Iron Eagle Dr, Suite 200Eagle, ID 83616-5148 · (208) 286-2837
Sole ProprietorNo
Enumeration DateOctober 17, 2013
NPI 1912335506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ID · LPC-5273
1191 E IRON EAGLE DR, Eagle, ID 83616

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1191 E IRON EAGLE DR
EAGLE, ID 83616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynette Fogg's NPI number?

The NPI number for Lynette Fogg is 1912335506. It was assigned to this individual provider in the NPPES registry on October 17, 2013.

Where is Lynette Fogg located?

Lynette Fogg practices at 1191 E Iron Eagle Dr Suite 200, Eagle, ID 83616. The listed phone number is (208) 286-2837.

What is Lynette Fogg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lynette Fogg was last updated on October 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.