Mark Matthew Pepper, LCMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5416652-6009 Issued in UT

Practice address

5827 S Twin Willows Cir
Murray, UT 84123-5777

Phone

(801) 502-5751

Fax

(801) 233-8748

NPI assigned

Nov 19, 2010

Last updated

May 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: familylifecenter.markpepper@160089.advancedmd-direct.com

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1447552740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 S TWIN WILLOWS CIR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235777",
            "telephone_number": "801-502-5751",
            "fax_number": "801-233-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5827 S TWIN WILLOWS CIR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235777",
            "telephone_number": "801-502-5751",
            "fax_number": "801-233-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "MARK",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "5416652-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Pelo, PA-C
• Ithan D Peltan, M.D.
• Tamsen Pena
• Tara Moffat Pennington
• Joseph Pepek
• Raul Alejandro Peragallo, MD
• Elayne Manuela Pereira, DPT
• Jose Perez Tamayo, M.D.
• Ingrid Julieth Perez
• Perfetto Clinical Contracting, Inc (starlight program)

• Counselor in Murray, UT
• Providers in Murray, UT by specialty
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.