Active NPI
Cory Eddington, M.S., LMFT
- Marriage & Family Therapist
- Brigham City, UT
National Provider Identifier
1588980635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 5079994-3902
- Practice address
- 978 Wildwood Dr
Brigham City, UT 84302-3038 - Phone
- (435) 723-5319
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 5079994-3902 | UT | Primary |
| Foster Care Agency | 253J00000X | 5079994-3902 | UT |
Addresses
Primary practice location
978 Wildwood Dr
Brigham City, UT 84302-3038
Mailing address
978 Wildwood Dr
Brigham City, UT 84302-3038
Phone (435) 723-5319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5079994-3902 | UT | MD | Foster Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1588980635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 WILDWOOD DR",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843023038",
"telephone_number": "435-723-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 WILDWOOD DR",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843023038",
"telephone_number": "435-723-5319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDINGTON",
"first_name": "CORY",
"credential": "M.S., LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "5079994-3902",
"primary": true
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "UT",
"license": "5079994-3902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.