Individual provider Active NPI

Brigette Denell Elgie, MFT

  • Marriage & Family Therapist
  • Park City, UT
National Provider Identifier
1285864538
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
9463019-3902 Issued in UT
Practice address
1283 Deer Valley Dr
Park City, UT 84060-5182
Phone
(949) 648-7004
Fax
(435) 649-2268
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 43952 CA
Marriage & Family Therapist 106H00000X 9463019-3902 UT Primary

Addresses

Primary practice location

1283 Deer Valley Dr
Park City, UT 84060-5182

Mailing address

PO Box 683480
Park City, UT 84068-3480
Phone (949) 648-7004

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

State licenses

LicenseStateTypeSpecialty
9463019-3902UTMDMarriage & Family Therapist
43952CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1285864538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683480",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840683480",
            "telephone_number": "949-648-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 DEER VALLEY DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840605182",
            "telephone_number": "949-648-7004",
            "fax_number": "435-649-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGIE",
        "first_name": "BRIGETTE",
        "middle_name": "DENELL",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43952",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "9463019-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.