OrganizationActive
Full Disclosure Therapy
NPI 1942021589 · Marriage & Family Therapist · Eagle, ID
Provider details
- NPI number
- 1942021589
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Julie Rodin, Owner(310) 570-6897
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
172 S Academy Ave Ste 150
Eagle, ID 83616-6564
Phone: (208) 668-2701
Street-level locationGet directions
Mailing address
238 S Neskowin Way
Eagle, ID 83616-4964
Additional practice locations (1)
- 2001 S Barrington Ave Ste 250W Los Angeles, CA 90025-5363Phone: (310) 570-6897
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2024-10-17
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.