Individual provider Active NPI

Kristina Moriah Maccaughan, LCMHC, ATR-P

  • Mental Health Counselor
  • Murray, UT
National Provider Identifier
1124847744
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14086952-6004 Issued in UT
Practice address
111 E 5600 S Ste 200
Murray, UT 84107-8158
Phone
(385) 346-0031
NPI assigned
Oct 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14086952-6004 UT Primary
Mental Health Counselor 101YM0800X 14086952-6009 UT

Addresses

Primary practice location

111 E 5600 S Ste 200
Murray, UT 84107-8158

Mailing address

8021 Gambel Dr Apt T22
Park City, UT 84098-4693
Phone (616) 550-3533

Other names 1

  • Kristina Ledezma Former name

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
14086952-6004UTMDMental Health Counselor
14086952-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Moon, PLLC Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1124847744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 GAMBEL DR APT T22",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984693",
            "telephone_number": "616-550-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 5600 S STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078158",
            "telephone_number": "385-346-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCAUGHAN",
        "first_name": "KRISTINA",
        "middle_name": "MORIAH",
        "credential": "LCMHC, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "14086952-6004",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "14086952-6009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "LEDEZMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.