Luz Patricia Mariscal Ortiz

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

13425678-3904 Issued in UT

Practice address

1218 W South Jordan Pkwy Ste A2
South Jordan, UT 84095-5946

Phone

(385) 645-8889

NPI assigned

Jul 10, 2023

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gibson Ventures, LLC

  • Mental Health Counselor
  • South Jordan, UT
  • NPI 1336958735
  Medicare reassignment NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1154009090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15047 S BUGLE RIDGE DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965722",
            "telephone_number": "385-645-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W SOUTH JORDAN PKWY STE A2",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955946",
            "telephone_number": "385-645-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISCAL ORTIZ",
        "first_name": "LUZ",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "13425678-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maple Ridge Chiropractic
• Maple Ridge Chiropractic LLC
• Jonathan Ray Marble, ACMHC
• Melissa Marchant
• Patrick W Marcroft, MD
• Kathryn Renee Marshall, P.A.-C
• Kelby Martin, D.C.
• Marisa Martin, FNP-BC
• Rodolfo Martinez Ferrate, MD
• Alecia Martinez

• Marriage & Family Therapist in South Jordan, UT
• Providers in South Jordan, 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 May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.