Lisa Frew McCormack, INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

5300 S 500 E Ste 6
Ogden, UT 84405-6955

Phone

(801) 392-0942

Fax

(801) 392-0943

NPI assigned

Oct 1, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1053139758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 W 4650 S",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840678956",
            "telephone_number": "385-444-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S 500 E STE 6",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056955",
            "telephone_number": "801-392-0942",
            "fax_number": "801-392-0943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 W 1900 S Ste 140",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "UT",
            "postal_code": "840759643",
            "country_code": "US",
            "telephone_number": "385-350-3039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "LISA",
        "middle_name": "FREW",
        "name_prefix": "Ms.",
        "credential": "INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Shawn McCarty, LMFT
• Adrien Lauren McCleery, CSW
• Christine Amber McCleve, TCM
• Ty Joo McComas, FNP-C
• Holly McCord
• Danielle McCormick
• Nevaeh Sage McCoy
• Shaney A McCoy, ACMHC
• Gabriel McCrary
• Courtney McDonald

• Marriage & Family Therapist in Ogden, UT
• Providers in Ogden, 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 Oct 1, 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.