Jayson Carmona, M.S., LMFT
Individual provider Active NPI Marriage & Family Therapist · Eagle Mountain, UT
NPI 1043845746 · NPPES record last updated Jan 5, 2021
Key facts
- NPI
- 1043845746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 10534944-3902 (UT)
- Practice address
- 1674 E Downwater St
Eagle Mountain, UT 84005-5123 - Phone
- (385) 325-1779
- NPI assigned
- Mar 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240809001438 | TX | Practitioner - Marriage and Family Therapist | 3678011566 | Reassigns benefits to 1 organization |
| I20250509000722 | UT | Practitioner - Marriage and Family Therapist | 3678011566 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105349443904 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Counseling | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 105349443904 | UT | |
| Marriage & Family Therapist | 106H00000X | 10534944-3902 | UT | Yes |
Addresses
Primary practice location
1674 E Downwater St
Eagle Mountain, UT 84005-5123
Mailing address
24 W Sergeant Court Dr Ste 201
Saratoga Springs, UT 84045-5809
Phone (801) 341-1919
Other providers in Eagle Mountain, UT
- Crystal Caldwell
- Karli Caldwell
- Malinda M Caldwell
- Rachel Alaina Callihan
- Levi Calveri
- Dena Henley Carnes
- Cherokee Carrillo
- Emily Carter
- Tammy Carter
- Catholic Health Initiatives Colorado
All providers in Eagle Mountain, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.