Individual provider Active NPI

Fufan Pedel, LMFT

  • Marriage & Family Therapist
  • Salt Lake City, UT
National Provider Identifier
1437698719
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
11768707-3902 Issued in UT
Practice address
6150 S Redwood Rd
Salt Lake City, UT 84123-5308
Phone
(385) 200-0652
NPI assigned
Feb 20, 2017
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 11768707-3902 UT Primary

Addresses

Primary practice location

6150 S Redwood Rd
Salt Lake City, UT 84123-5308

Mailing address

6150 S Redwood Rd # Ut
Salt Lake City, UT 84123-5308
Phone (385) 200-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240220004794 UT Practitioner - Marriage and Family Therapist 6709220510 Reassigns benefits to 1 organization
I20251007004344 NY Practitioner - Marriage and Family Therapist 6709220510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

3556 S 5600
1 828
Salt Lake City, UT 84120-2815
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001361NYMDBehavioral Analyst
11768707-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Sep 13, 2025 Accepting new patients
Harmony Counseling LLC Marriage & Family Therapist Current Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

3556 S 5600 W
#1828
West Valley City, UT 84120
Phone (330) 416-3867

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1437698719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 S REDWOOD RD # UT",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235308",
            "telephone_number": "385-200-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 S REDWOOD RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235308",
            "telephone_number": "385-200-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDEL",
        "first_name": "FUFAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "11768707-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.