Individual provider Active NPI

Douglas Hopper, LMFT

  • Marriage & Family Therapist
  • Centerville, UT
National Provider Identifier
1538404231
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
8049997-3904 Issued in UT
Practice address
25 S Main St Ste 202
Centerville, UT 84014-1840
Phone
(801) 663-6656
Fax
(801) 298-2024
NPI assigned
Dec 6, 2012
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 8049997-3904 UT Primary

Addresses

Primary practice location

25 S Main St Ste 202
Centerville, UT 84014-1840

Mailing address

500 Broadway Apt D104
Farmington, UT 84025-5630
Phone (801) 425-1882

Other practice location 1

225 N Adamswood Rd
Layton, UT 84040-4033
Phone (385) 888-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326001450 UT Practitioner - Marriage and Family Therapist 4385081314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8049997-3904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Recovery, LLC CurrentSince Mar 12, 2024 Accepting new patients
Elite Counseling Services Marriage & Family Therapist CurrentSince Sep 14, 2025 Accepting new patients
Alliant Behavioral Health of Utah, L.L.C Mental Health PastSince Jan 28, 2024 Accepting new patients

Locations

25 S Main St
Ste 202
Centerville, UT 84014
Phone (801) 663-6656

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1538404231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROADWAY APT D104",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840255630",
            "telephone_number": "801-425-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST STE 202",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141840",
            "telephone_number": "801-663-6656",
            "fax_number": "801-298-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 N Adamswood Rd",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840404033",
            "country_code": "US",
            "telephone_number": "385-888-9040",
            "fax_number": "801-206-3389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "8049997-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, UT

Sources for this page

Verify at the official NPI Registry.