MRS. KATHLEEN S TOMAZIN LCPC NPI 1194942185

NPI Information

  • NPI: 1194942185
  • Provider Name: MRS. KATHLEEN S TOMAZIN, LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 90 W JUDICIAL ST
    BLACKFOOT, ID
    ZIP 83221
  • Phone: (208) 782-2060

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NPI Details

MRS. Kathleen S Tomazin, LCPC is a professional counselor in Blackfoot, ID. MRS. Kathleen S Tomazin, LCPC NPI is 1194942185. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

90 W JUDICIAL ST
BLACKFOOT, ID
ZIP 83221-715
Phone: (208) 782-2060
Fax: (208) 782-0209

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLCPC 332IDAHOYes
2104100000XSocial WorkerLSW 1810IDAHOX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
180662262MEDICAIDIDAHO
28059327MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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