Individual provider Active NPI

D. Anthony Richards, AMFT

  • Marriage & Family Therapist
  • Salt Lake City, UT
National Provider Identifier
1205686722
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
13739899-3904 Issued in UT
Practice address
724 E 2100 S Ste B
Salt Lake City, UT 84106-3026
Phone
(801) 487-0499
NPI assigned
Mar 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 13739899-3904 UT Primary

Addresses

Primary practice location

724 E 2100 S Ste B
Salt Lake City, UT 84106-3026

Mailing address

724 E 2100 S Ste B
Salt Lake City, UT 84106-3026
Phone (801) 487-0499

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
I20260501000828 UT Practitioner - Marriage and Family Therapist 5193293785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2036 Lincoln Ave
Suite 102
Ogden, UT 84401-0430

7650 S Euro Dr
Apt C105
Midvale, UT 84047-5059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13739899-3904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LDS Family Services PastSince Mar 31, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1205686722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E 2100 S STE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063026",
            "telephone_number": "801-487-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 E 2100 S STE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063026",
            "telephone_number": "801-487-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "D. ANTHONY",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "13739899-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.