Individual provider Active NPI

Dennis Wheatley, LMFT

  • Marriage & Family Therapist
  • Logan, UT
National Provider Identifier
1336270933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
262930-3902 Issued in UT
Practice address
175 West 1400 North
Suite a
Logan, UT 84341
Phone
(435) 752-5302
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 262930-3902 UT Primary

Addresses

Primary practice location

175 West 1400 North
Suite a
Logan, UT 84341

Mailing address

771 Highland Blvd
Brigham City, UT 84302-5570
Phone (435) 723-1970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119002808 UT Practitioner - Marriage and Family Therapist 8022460591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

817 W 950
Brigham City, UT 84302-3071
Phone (435) 792-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bear River District Health Dept CurrentSince Jan 1, 2024 Accepting new patients
Bear River District Health Dept CurrentSince Jan 1, 2024 Accepting new patients
LDS Family Services Past Accepting new patients

Locations

817 W 950 S
Brigham City, UT 84302
Phone (435) 695-2077

90 E 200 N
Logan, UT 84321
Phone (435) 752-0750

655 E 1300 N
Logan, UT 84341
Phone (435) 792-6491

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336270933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 HIGHLAND BLVD",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843025570",
            "telephone_number": "435-723-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WEST 1400 NORTH",
            "address_2": "SUITE A",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-752-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "DENNIS",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "262930-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.