Individual provider Active NPI

Tessa Singleton

  • Marriage & Family Therapist
  • Pleasant Grove, UT
National Provider Identifier
1285282558
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
11871008-3904 Issued in UT
Practice address
1410 W State Rd
Pleasant Grove, UT 84062-5049
Phone
(385) 236-1974
NPI assigned
Aug 29, 2019
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 11871008-3904 UT Primary

Addresses

Primary practice location

1410 W State Rd
Pleasant Grove, UT 84062-5049

Mailing address

1410 W State Rd
Pleasant Grove, UT 84062-5049
Phone (385) 236-1974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Oct 7, 2024 through Oct 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11871008-3904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Mountain Therapy & Consultation CurrentSince Feb 4, 2024 Accepting new patients
Columbia Wellness PastSince Sep 1, 2019 Accepting new patients

Locations

1410 W State Rd
Pleasant Grove, UT 84062
Phone (385) 236-1974

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1285282558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W STATE RD",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840625049",
            "telephone_number": "385-236-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W STATE RD",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840625049",
            "telephone_number": "385-236-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "TESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "11871008-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

Verify at the official NPI Registry.