Active NPI
Ethan Gunn, LMFT
- Marriage & Family Therapist
- Hyde Park, UT
National Provider Identifier
1316836182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 12904125-3902
- Practice address
- 338 W 300 N
Hyde Park, UT 84318-4044 - Phone
- (435) 760-5692
- NPI assigned
- Jun 28, 2025
- Last updated
- Jun 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 12904125-3902 | UT | Primary |
Addresses
Primary practice location
338 W 300 N
Hyde Park, UT 84318-4044
Mailing address
139 S 400 E
Hyde Park, UT 84318-3543
Phone (435) 760-5692
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12904125-3902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1316836182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 S 400 E",
"city": "HYDE PARK",
"state": "UT",
"postal_code": "843183543",
"telephone_number": "435-760-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 W 300 N",
"city": "HYDE PARK",
"state": "UT",
"postal_code": "843184044",
"telephone_number": "435-760-5692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNN",
"first_name": "ETHAN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-28",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "12904125-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyde Park, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.