Individual provider Active NPI

Charles L Crane, LMFT

  • Marriage & Family Therapist
  • Vernal, UT
National Provider Identifier
1194901637
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
6845102-3902 Issued in UT
Practice address
1285 W Highway 40
Vernal, UT 84078-2923
Phone
(435) 790-2757
Fax
(435) 789-4045
NPI assigned
Jan 15, 2008
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 6845102-3902 UT Primary

Addresses

Primary practice location

1285 W Highway 40
Vernal, UT 84078-2923

Mailing address

PO Box 37
Vernal, UT 84078-0001
Phone (435) 790-2757

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240517003475 UT Practitioner - Marriage and Family Therapist 1951795822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Youth and Family TherapyGroup PAC ID 0042604910, 2 clinicians

Practice addresses (Care Compare)

365 W 50
Suite W8
Vernal, UT 84078-2010
Phone (435) 790-2757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Youth & Family Therapy Marriage & Family Therapist CurrentSince Mar 12, 2023 Accepting new patients
Lighthouse Youth & Family Therapy Marriage & Family Therapist CurrentSince May 4, 2024 Accepting new patients

Locations

1285 W Highway 40
Vernal, UT 84078
Phone (435) 790-2588

365 W 50 N
Ste W8
Vernal, UT 84078
Phone (435) 790-2757

Organizations & group practices 2

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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1194901637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840780001",
            "telephone_number": "435-790-2757",
            "fax_number": "435-789-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782923",
            "telephone_number": "435-790-2757",
            "fax_number": "435-789-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "6845102-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.