Individual provider Active NPI

Merritt Grace Lebrecht, ACMHC, TRS, CTRS

  • Mental Health Counselor
  • Eagle Mountain, UT
National Provider Identifier
1033849633
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12103709-6009 Issued in UT
Practice address
18406 W White Quest Dr
Eagle Mountain, UT 84013-9701
Phone
(801) 335-4699
Fax
(801) 335-7031
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 12103709-4002 UT
Mental Health Counselor 101YM0800X 12103709-6009 UT Primary

Addresses

Primary practice location

18406 W White Quest Dr
Eagle Mountain, UT 84013-9701

Mailing address

13417 S Aintree Ave
Draper, UT 84020-8887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12103709-6009UTMDMental Health Counselor
12103709-4002UTMDRecreation Therapist

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1033849633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13417 S AINTREE AVE",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18406 W WHITE QUEST DR",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840139701",
            "telephone_number": "801-335-4699",
            "fax_number": "801-335-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRECHT",
        "first_name": "MERRITT",
        "middle_name": "GRACE",
        "credential": "ACMHC, TRS, CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "UT",
            "license": "12103709-4002",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12103709-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.