Active NPI
Tessa Marie, LMFT
- Marriage & Family Therapist
- Spanish Fork, UT
National Provider Identifier
1063164853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 12456913-3902
- Practice address
- 733 N Main St
Spanish Fork, UT 84660-1146 - Phone
- (801) 515-2282
- NPI assigned
- Jan 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 12456913-3902 | UT | Primary |
Addresses
Primary practice location
733 N Main St
Spanish Fork, UT 84660-1146
Mailing address
13416 S Saddle Ridge Dr
Draper, UT 84020-7915
Phone (916) 547-9493
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12456913-3902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1063164853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13416 S SADDLE RIDGE DR",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207915",
"telephone_number": "916-547-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 N MAIN ST",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846601146",
"telephone_number": "801-515-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIE",
"first_name": "TESSA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-22",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "12456913-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spanish Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.