Active NPI
Douglas Hopper, LMFT
- Marriage & Family Therapist
- Centerville, UT
National Provider Identifier
1538404231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 8049997-3904
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8049997-3904 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Recovery, LLC | Current | Accepting new patients | |
| Elite Counseling Services | Marriage & Family Therapist | Current | Accepting new patients |
| Alliant Behavioral Health of Utah, L.L.C | Mental Health | Past | 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.
-
- Substance Abuse Rehabilitation Facility
- Centerville, UT
- NPI 1104460666
-
- Marriage & Family Therapist
- Clearfield, UT
- NPI 1710868005
-
- Mental Health Counselor
- Layton, UT
- NPI 1528624756
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.