Active NPI
Heather Severn Callister, M.S.
- Marriage & Family Therapist
- Salt Lake City, UT
National Provider Identifier
1427015460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 6024101-3902
- Practice address
- 275 E South Temple Ste 101
Salt Lake City
Salt Lake City, UT 84111-1243 - Phone
- (801) 505-1332
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 6024101-3902 | UT | Primary |
Addresses
Primary practice location
275 E South Temple Ste 101
Salt Lake City
Salt Lake City, UT 84111-1243
Mailing address
275 E South Temple
Salt Lake City
Salt Lake City, UT 84111-1247
Phone (801) 505-1332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 3, 2024 through Oct 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6024101-3902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1427015460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 E SOUTH TEMPLE",
"address_2": "SALT LAKE CITY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111247",
"telephone_number": "801-505-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 E SOUTH TEMPLE STE 101",
"address_2": "SALT LAKE CITY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111243",
"telephone_number": "801-505-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLISTER",
"first_name": "HEATHER",
"middle_name": "SEVERN",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "6024101-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.