Individual provider Active NPI

Emma McKellar, MFT

  • Marriage & Family Therapist
  • St George, UT
National Provider Identifier
1114154838
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
9542510-3902 Issued in UT
Practice address
321 N Mall Dr Ste 101
St George, UT 84790-7302
Phone
(702) 281-4307
NPI assigned
Jun 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 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 9542510-3902 UT Primary
Marriage & Family Therapist 106H00000X 01107 NV

Addresses

Primary practice location

321 N Mall Dr Ste 101
St George, UT 84790-7302

Mailing address

3243 E Warm Springs Rd
Suite 108
Las Vegas, NV 89120-3185
Phone (702) 281-4307

Other practice location 1

3243 E Warm Springs Rd
Suite 108
Las Vegas, NV 89120-3185
Phone (702) 281-4307

Other practice location 2

3035 E Maple Mountain Dr
St George, UT 84790-1315
Phone (702) 281-4307

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

LicenseStateTypeSpecialty
01107NVMDMarriage & Family Therapist
9542510-3902UTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1114154838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 E WARM SPRINGS RD",
            "address_2": "SUITE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203185",
            "telephone_number": "702-281-4307",
            "fax_number": "702-547-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MALL DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907302",
            "telephone_number": "702-281-4307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3243 E Warm Springs Rd",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203185",
            "country_code": "US",
            "telephone_number": "702-281-4307",
            "fax_number": "702-547-4307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3035 E Maple Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847901315",
            "country_code": "US",
            "telephone_number": "702-281-4307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKELLAR",
        "first_name": "EMMA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-20",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "9542510-3902",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.