Karen Russell Mortensen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

11151552-3904 Issued in UT

Practice address

1422 E 820 N
Orem, UT 84097-5481

Phone

(801) 644-0726

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Flourish Therapy Inc

  • Marriage & Family Therapist
  • Orem, UT
  • NPI 1679128599
  NPD

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1467096917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E 1100 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151316",
            "telephone_number": "801-644-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 E 820 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975481",
            "telephone_number": "801-644-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL MORTENSEN",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "11151552-3902",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "11151552-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Ruesch
• Jenasie Ruffner
• Kathleen E Rugh, CSW
• Rebecca Rupprecht
• Emily Russak, PA-C
• Beulah Joy Russell
• Layna D Russell
• Skyler Russell
• Whitney Ruth
• Chloe Rutter

• Marriage & Family Therapist in Orem, UT
• Providers in Orem, UT by specialty
• Marriage & Family Therapist in Utah

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