Individual provider Active NPI

Madalilia Mendoza-Meza

  • Marriage & Family Therapist
  • Bountiful, UT
National Provider Identifier
1306742614
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
13615930-3904 Issued in UT
Practice address
270 S Main St Ste 104
Bountiful, UT 84010-6249
Phone
(801) 683-9340
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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 13615930-3904 UT Primary

Addresses

Primary practice location

270 S Main St Ste 104
Bountiful, UT 84010-6249

Mailing address

3687 S Manhattan CT
West Valley City, UT 84120-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1306742614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 S MANHATTAN CT",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841203002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S MAIN ST STE 104",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106249",
            "telephone_number": "801-683-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA-MEZA",
        "first_name": "MADALILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "13615930-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.