Individual provider Active NPI

Melissa Renee Garcia Perez

  • Marriage & Family Therapist
  • Syracuse, UT
National Provider Identifier
1033973102
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1747 Heritage LN Ste B101
Syracuse, UT 84075-8546
Phone
(801) 668-7802
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1747 Heritage LN Ste B101
Syracuse, UT 84075-8546

Mailing address

1747 Heritage LN Ste B101
Syracuse, UT 84075-8546
Phone (801) 668-7802

Other practice location 1

1186 E 4600 S
Ogden, UT 84403-4332
Phone (801) 668-7802

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marc@ansonfamilycounseling.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anson Family Counseling, LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

1747 Heritage Ln
Ste B101
Syracuse, UT 84075
Phone (385) 439-1926

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1033973102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 HERITAGE LN STE B101",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758546",
            "telephone_number": "801-668-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 HERITAGE LN STE B101",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758546",
            "telephone_number": "801-668-7802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1186 E 4600 S",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844034332",
            "country_code": "US",
            "telephone_number": "801-668-7802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA PEREZ",
        "first_name": "MELISSA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marc@ansonfamilycounseling.com",
            "affiliation": "N",
            "endpointDescription": "owners email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1747 Heritage Ln Ste B101",
            "city": "Syracuse",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840758546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.