Recreate Therapy, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

9066126-3902 Issued in UT

Legal business name

RECREATE THERAPY, PLLC

Practice address

2535 S Highway 89
Ste 4
Brigham City, UT 84302-6729

Phone

(435) 494-1214

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Ava Marie Crump Hanson, MS, LMFTNPI 1538601133

Title

Owner/Marriage and Family Therapist

Phone

(435) 632-7894

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ava Hanson, LMFT

  • Marriage & Family Therapist
  • Perry, UT
  • NPI 1538601133
  NPD (past) Authorized official

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1013442052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W 1750 S",
            "address_2": "APT #1",
            "city": "PERRY",
            "state": "UT",
            "postal_code": "843024903",
            "telephone_number": "435-494-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 S HIGHWAY 89",
            "address_2": "STE 4",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843026729",
            "telephone_number": "435-494-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECREATE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "MARIE CRUMP",
        "authorized_official_title_or_position": "OWNER/MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "435-632-7894",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "9066126-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Jordan Rasmussen
• Eric Rasmussen
• Joan C Rasmussen, LCSW
• Julie Ratner
• Alek Raymond
• Cheyenne Renee Renda, BCBA
• Stanley Blake Renda
• James Ribera
• Jared Dale Rich
• Tammy Richard

• Marriage & Family Therapist in Brigham City, UT
• Providers in Brigham City, 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 Apr 27, 2017; 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.