Individual provider Active NPI

Jayson Carmona, M.S., LMFT

  • Marriage & Family Therapist
  • Eagle Mountain, UT
National Provider Identifier
1043845746
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10534944-3902 Issued in UT
Practice address
1674 E Downwater St
Eagle Mountain, UT 84005-5123
Phone
(385) 325-1779
NPI assigned
Mar 3, 2020
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 105349443904 UT
Marriage & Family Therapist 106H00000X 10534944-3902 UT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
105349443904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Counseling CurrentSince Apr 29, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1043845746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W SERGEANT COURT DR STE 201",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455809",
            "telephone_number": "801-341-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 E DOWNWATER ST",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055123",
            "telephone_number": "385-325-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "JAYSON",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "105349443904",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "10534944-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

Verify at the official NPI Registry.