Mark Wilson Ward, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

8148314-3902 Issued in UT

Practice address

730 E Spring Dr.
Toquerville, UT 84774

Phone

(435) 635-0300

NPI assigned

Dec 12, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Safe Refuge

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
  • NPI 1962621664
  NPD (past)
• Substance Abuse Foundation of Long Beach

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
  • NPI 1730486044
  NPD (past)

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1386912871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E SPRING DR.",
            "city": "TOQUERVILLE",
            "state": "UT",
            "postal_code": "84774",
            "telephone_number": "435-635-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E SPRING DR.",
            "city": "TOQUERVILLE",
            "state": "UT",
            "postal_code": "84774",
            "telephone_number": "435-635-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E SR 9",
            "address_purpose": "LOCATION",
            "city": "Virgin",
            "state": "UT",
            "postal_code": "847797726",
            "country_code": "US",
            "telephone_number": "435-635-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "MARK",
        "middle_name": "WILSON",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2023-01-03",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "8148314-3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190077AHN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Seay-Smith, CMHC
• Sequel Youth Services of Lava Heights
• Daren Snyder
• Karen Straw, MA-SLP-CCC
• Tiara Katherine Valk, LPN
• Heather Weinberg
• Debralee Willis, LCSW

• All providers in Toquerville, UT
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.