Organization Active NPI

Center for Marriage Preparation

  • Adult Mental Health Clinic/Center
  • Provo, UT
National Provider Identifier
1205568045
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CENTER FOR MARRIAGE PREPARATION
Practice address
3355 N University Ave Ste 250-D
Provo, UT 84604-4481
Phone
(801) 471-9146
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Dr. Jeremy Boden, PHD, LMFT
Title
Executive Director
Phone
(801) 471-9146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3355 N University Ave Ste 250-D
Provo, UT 84604-4481

Mailing address

3355 N University Ave Ste 250-D
Provo, UT 84604-4481
Phone (801) 471-9146

Other names 1

  • Center for Marriage Preparation Former legal business name

National Provider Directory

National Provider Directory

Locations

3355 N University Ave
Ste 250D
Provo, UT 84604
Phone (801) 471-9146

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1205568045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 N UNIVERSITY AVE STE 250-D",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044481",
            "telephone_number": "801-471-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 N UNIVERSITY AVE STE 250-D",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044481",
            "telephone_number": "801-471-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MARRIAGE PREPARATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "BODEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-471-9146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Marriage Preparation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.