Individual provider Active NPI

Megan Ashley Pond-Maxwell, AMFT

  • Marriage & Family Therapist
  • Sandy, UT
National Provider Identifier
1306447792
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119874543904 Issued in UT
Practice address
47 W 9000 S Ste 1
Sandy, UT 84070-2043
Phone
(801) 903-7218
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 119874543904 UT Primary

Addresses

Primary practice location

47 W 9000 S Ste 1
Sandy, UT 84070-2043

Mailing address

9955 S Heytesbury LN
Sandy, UT 84092-3708
Phone (801) 903-7218

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
119874543904UTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1306447792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 S HEYTESBURY LN",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840923708",
            "telephone_number": "801-903-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W 9000 S STE 1",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702043",
            "telephone_number": "801-903-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POND-MAXWELL",
        "first_name": "MEGAN",
        "middle_name": "ASHLEY",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "119874543904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.