Matthew Connelly, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

9880965-3902 Issued in UT

Practice address

1258 W South Jordan Pkwy Ste 202
South Jordan, UT 84095-4712

Phone

(801) 255-1155

NPI assigned

Jun 14, 2020

Last updated

Jun 14, 2020By 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

Practice roles

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.

• Suncrest Counseling

  • Community/Behavioral Health Agency
  • South Jordan, UT
  • NPI 1902232085
  NPD (past)

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1508481664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 N 800 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840102845",
            "telephone_number": "801-712-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 W SOUTH JORDAN PKWY STE 202",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954712",
            "telephone_number": "801-255-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "MATTHEW",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-14",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "9880965-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean P Collins, APRN
• Comprehensive Chiropractic and Recovery (Back On Track Recovery)
• Confidence Co., the PLLC (The Confidence Company, PLLC)
• Katherine Eileen Conley
• Connections Family Wellness
• Deidre Conover, PA-C
• Cook Clinic LLC
• Juliann Marie Cook Jeppsen, LCSW
• David E Cook, M.D.
• Shilea Dianne Cooper

• Marriage & Family Therapist in South Jordan, UT
• Providers in South Jordan, 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 Jun 14, 2020; 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.