Active NPI
Marilee Grace Tuifua, LCSW
- Counselor
- South Jordan, UT
National Provider Identifier
1083166292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4780264-3501
- Practice address
- 11113 S Mesa Vista CT
South Jordan, UT 84095-8169 - Phone
- (801) 694-2806
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4780264-3501 | UT | Primary |
Addresses
Primary practice location
11113 S Mesa Vista CT
South Jordan, UT 84095-8169
Mailing address
11113 S. Mesa Vista Court
South Jordan, UT 84095
Phone (801) 694-2806
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 |
|---|---|---|---|
| 4780264-3501 | UT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1083166292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11113 S. MESA VISTA COURT",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "84095",
"telephone_number": "801-694-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11113 S MESA VISTA CT",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958169",
"telephone_number": "801-694-2806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUIFUA",
"first_name": "MARILEE",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "4780264-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.