Timothy John Cregor, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10438004-3902 Issued in UT

Practice address

3355 N. University Ave., Ste. 250
Provo, UT 84604-6640

Phone

(559) 789-2503

Fax

(801) 503-9833

NPI assigned

Nov 27, 2006

Last updated

Nov 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1003982778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E. DEER RIDGE DR.",
            "city": "MIDWAY",
            "state": "UT",
            "postal_code": "840494500",
            "telephone_number": "559-789-2503",
            "fax_number": "801-503-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 N. UNIVERSITY AVE., STE. 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046640",
            "telephone_number": "559-789-2503",
            "fax_number": "801-503-9833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E. Main St.",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "UT",
            "postal_code": "840496806",
            "country_code": "US",
            "telephone_number": "559-789-2503",
            "fax_number": "801-503-9833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREGOR",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46921",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "10438004-3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY ISSUED NUMBER",
            "identifier": "6353",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler L Crawford, MD
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• Jami Creer
• Kami M Creer, RPH
• Eric Gordon Crews, MFT
• Maya Elizabeth Criser
• Robert H Crist, MD
• Mark Critchfield, MD
• Elly Crittenden

• Marriage & Family Therapist in Provo, UT
• Providers in Provo, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.