Angie S Bledsoe, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

14093358-3904 Issued in UT

Practice address

481 E 1000 S Ste D
Pleasant Grove, UT 84062-3716

Phone

(801) 899-2559

NPI assigned

Aug 12, 2024

Last updated

Dec 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Steady Love Co

  • Marriage & Family Therapist
  • Alpine, UT
  • NPI 1295639334
  NPD (past) Authorized official
• Compassionate Connections Counseling

  • Marriage & Family Therapist
  • Pleasant Grove, UT
  • NPI 1730983065
  NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1033940192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S ALPINE CIR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041721",
            "telephone_number": "808-286-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 E 1000 S STE D",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623716",
            "telephone_number": "801-899-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "ANGIE",
        "middle_name": "S",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "14093358-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Pleasant Grove, UT
• Providers in Pleasant Grove, 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 Dec 15, 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.