Organization Active NPI

Lavender and Light Collective, PLLC

  • Marriage & Family Therapist
  • Eagle Mountain, UT
National Provider Identifier
1538029202
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LAVENDER AND LIGHT COLLECTIVE, PLLC
Practice address
5094 E Big Sky Way
Eagle Mountain, UT 84005-4878
Phone
(435) 610-1676
NPI assigned
Nov 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Madisen Elise BusenbarkNPI 1447841283
Title
Owner/ Member
Phone
(435) 610-1676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5094 E Big Sky Way
Eagle Mountain, UT 84005-4878

Mailing address

5094 E Big Sky Way
Eagle Mountain, UT 84005-4878
Phone (435) 610-1676

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1538029202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5094 E BIG SKY WAY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054878",
            "telephone_number": "435-610-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5094 E BIG SKY WAY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840054878",
            "telephone_number": "435-610-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER AND LIGHT COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "BUSENBARK",
        "authorized_official_first_name": "MADISEN",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER/ MEMBER",
        "authorized_official_telephone_number": "435-610-1676"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.