Staci Pay, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

5410789-3902 Issued in UT

Practice address

286 W 100 N
Ephraim, UT 84627-1132

Phone

(435) 851-1079

NPI assigned

Jan 14, 2022

Sex

Female

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

Practice roles

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.

• Journey Counseling Center Sanpete LLC the

  • Adult Mental Health Clinic/Center
  • Ephraim, UT
  • NPI 1164857892
  NPD (past)

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1477204014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "MORONI",
            "state": "UT",
            "postal_code": "846460339",
            "telephone_number": "435-851-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 W 100 N",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846271132",
            "telephone_number": "435-851-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAY",
        "first_name": "STACI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "5410789-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorna Mickelson Olson
• Rylee Ann Olson
• Heather Owens
• Chandni Patel
• Candace Patterson Larsen
• Ginger Peterson, CASE MANAGER
• McKaylie Ann Peterson
• Monica E Peterson
• Trace F Peterson
• Shunda Pope

• Marriage & Family Therapist in Ephraim, UT
• Providers in Ephraim, 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 Dec 4, 2024; 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.