Individual provider Active NPI

Amelie Justine Zichy-Thyssen, MFT, CMHC

  • Mental Health Counselor
  • Midvale, UT
National Provider Identifier
1336959295
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14193003-6009 Issued in UT
Practice address
7070 S Union Park Ave
Midvale, UT 84047-4179
Phone
(801) 528-7309
NPI assigned
Jan 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14193003-6009 UT Primary
Marriage & Family Therapist 106H00000X 14193003-3904 UT

Addresses

Primary practice location

7070 S Union Park Ave
Midvale, UT 84047-4179

Mailing address

2485 Silver Cloud Dr
Park City, UT 84060-7052
Phone (949) 441-9111

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
14193003-6009UTMDMental Health Counselor
14193003-3904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beehive Mental Health LLC CurrentSince Feb 16, 2025 Accepting new patients

Locations

7070 S Union Park Ave
Midvale, UT 84047
Phone (801) 405-7450

Organizations & group practices 1

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": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1336959295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 SILVER CLOUD DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607052",
            "telephone_number": "949-441-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 S UNION PARK AVE",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474179",
            "telephone_number": "801-528-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICHY-THYSSEN",
        "first_name": "AMELIE",
        "middle_name": "JUSTINE",
        "credential": "MFT, CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "14193003-6009",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "14193003-3904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.