Beth A Barrett, MFT
Individual provider Active NPI Marriage & Family Therapist · SLC, UT
NPI 1295895886 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295895886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 116583-3902 (UT)
- Practice address
- 4505 Wasatch Blvd # St320
SLC, UT 84124-4709 - Phone
- (801) 274-3500
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 19, 2024 through Jan 19, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116583-3902 | UT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 116583-3902 | UT | Yes |
Addresses
Primary practice location
4505 Wasatch Blvd # St320
SLC, UT 84124-4709
Mailing address
4505 Wasatch Blvd # St320
SLC, UT 84124-4709
Phone (801) 274-3500
Other providers in SLC, UT
- Kirstin E. Barker
- Randy Sean Barnhisel
- Brittini N Barr
- Whitney Jane Barrell
- Stephanie Barreras
- Camelia Irene Barrus
- Nicholas Barth
- Sarah Ward Barth
- Marghi E Barton
- Ryker Barton
All providers in SLC, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.