Organization Active NPI

Life Elevated Therapy & Coaching, PLLC

  • Clinical Social Worker
  • Draper, UT
National Provider Identifier
1396549929
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFE ELEVATED THERAPY & COACHING, PLLC
Practice address
972 E Deer Arch LN
Draper, UT 84020-1369
Phone
(801) 842-1492
Fax
(801) 872-7695
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Tracy Elle Thomas, LCSWNPI 1891430914
Title
Therapist/Owner
Phone
(435) 709-6771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

972 E Deer Arch LN
Draper, UT 84020-1369

Mailing address

138 E 12300 S Unit 838
Draper, UT 84020-7976
Phone (435) 709-6771

Other practice location 1

12226 S 1000 E Ste 9
Draper, UT 84020-3211
Phone (435) 709-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251112001053 UT Part B Supplier - Clinic/Group Practice 1951892595 Receives reassigned benefits from 1 practitioner
Practice locations: Draper, UT

National Provider Directory

National Provider Directory

Locations

12226 S 1000 E
Ste 9
Draper, UT 84020
Phone (435) 709-6771

138 E 12300 S
Unit 838
Draper, UT 84020

125 W Main St
Unit 466
Midway, UT 84049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1396549929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E 12300 S UNIT 838",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207976",
            "telephone_number": "435-709-6771",
            "fax_number": "801-872-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 E DEER ARCH LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201369",
            "telephone_number": "801-842-1492",
            "fax_number": "801-872-7695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12226 S 1000 E Ste 9",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840203211",
            "country_code": "US",
            "telephone_number": "435-709-6771",
            "fax_number": "801-872-7695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE ELEVATED THERAPY & COACHING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ELLE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "435-709-6771",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.