Individual provider Active NPI

Adam M Anderson, MS, LMFT, MBA

  • Marriage & Family Therapist
  • American Fork, UT
National Provider Identifier
1184915324
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
7664802-3904 Issued in UT
Practice address
1112 E 300 N Ste 102
American Fork, UT 84003-2294
Phone
(801) 814-0059
NPI assigned
Apr 21, 2011
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 7664802-3904 UT Primary

Addresses

Primary practice location

1112 E 300 N Ste 102
American Fork, UT 84003-2294

Mailing address

PO Box 600553
Saint Johns, FL 32260-0553
Phone (801) 814-0059

Other practice location 1

116 Grampian Highlands Dr
Saint Johns, FL 32259-6602
Phone (801) 814-0059

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
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
7664802-3904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A&W Partners, LLC Marriage & Family Therapist CurrentSince Dec 10, 2023 Accepting new patients
LDS Family Services Past Accepting new patients
LDS Family Services Past Accepting new patients

Locations

1112 E 300 N
Ste 102
American Fork, UT 84003
Phone (801) 814-0059

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1184915324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600553",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322600553",
            "telephone_number": "801-814-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E 300 N STE 102",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032294",
            "telephone_number": "801-814-0059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Grampian Highlands Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322596602",
            "country_code": "US",
            "telephone_number": "801-814-0059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "MS, LMFT, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "7664802-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.