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TAKOMA LINDSAY PHD
NPI 1922862507
Marriage & Family Therapist in Idaho Falls, ID

Active since February 13, 2024Opted out of Medicare · through Mar 25, 2027
3940 WASHINGTON PKWY, IDAHO FALLS, ID 83404(208) 252-5545 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Takoma Lindsay Phd NPPES

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

TAKOMA LINDSAY PHD (NPI 1922862507) is an individual marriage & family therapist in Idaho Falls, Idaho, licensed in Idaho (2871447) and active in the NPI registry since February 2024. He has opted out of Medicare through March 25, 2027.

NPPES Registry Identity

NPI1922862507
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameTAKOMA LINDSAYCredential: PHD
Location Address3940 WASHINGTON PKWYIdaho Falls, ID 83404-7596
Mailing Address2666 Lavender DrIdaho Falls, ID 83401-6256 · (208) 252-5545
Phone(208) 252-5545
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1922862507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in ID · 2871447✔ Licensed in UT · 12439475-3904
Definition
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.
3940 WASHINGTON PKWY, Idaho Falls, ID 83404
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Takoma Lindsay Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 25, 2025 through March 25, 2027.

Opt-Out Effective DateMarch 25, 2025
Opt-Out In Effect ThroughMarch 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

MR. AARON MART FRAZIER JR.
Marriage & Family Therapist
3940 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 943-2593
TAKOMA LINDSAY COUNSELING, LLC
Clinic/Center (Adult Mental Health)
3940 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (801) 874-7838

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 Takoma Lindsay's NPI number?

The NPI number for Takoma Lindsay is 1922862507. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Takoma Lindsay located?

Takoma Lindsay practices at 3940 Washington Pkwy, Idaho Falls, ID 83404. The listed phone number is (208) 252-5545.

What is Takoma Lindsay's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Takoma Lindsay enrolled in Medicare?

No. Takoma Lindsay has opted out of Medicare through March 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Takoma Lindsay was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.