Alexis Maude Sorensen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12319990-3902 Issued in UT

Practice address

826 N 100 E Ste 1a
Spanish Fork, UT 84660-1241

Phone

(801) 515-2282

NPI assigned

Jan 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alexis Maude Sorensen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1578102802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 N 100 E STE 1A",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601241",
            "telephone_number": "801-515-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N 100 E STE 1A",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601241",
            "telephone_number": "801-515-2282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 N Freedom Blvd",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846011677",
            "country_code": "US",
            "telephone_number": "801-373-4760",
            "fax_number": "801-373-0639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "ALEXIS",
        "middle_name": "MAUDE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "12319990-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "SORENSEN",
            "middle_name": "MAUDE",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Solacium New Haven, LLC
• Solacium New Haven, LLC
• Solidity Medical Solutions, LLC
• Samantha Solomon
• Sonography Mobile Solutions
• Bret J Sorensen, DDS
• Thomas William Sorensen, DDS
• Taylor J Sorenson, DO
• Weston Soudan, DPT
• Sozo Family Wellness PLLC

• Marriage & Family Therapist in Spanish Fork, UT
• Providers in Spanish Fork, 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 Mar 29, 2023; 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.