Individual provider Active NPI

Robert Michael Peyton, M.A.

  • Marriage & Family Therapist
  • Loa, UT
National Provider Identifier
1609083716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
271527-3902 Issued in UT
Practice address
Aspen Ranch
2000 W Dry Valley Road
Loa, UT 84747-0369
Phone
(435) 836-1112
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 271527-3902 UT Primary

Addresses

Primary practice location

Aspen Ranch
2000 W Dry Valley Road
Loa, UT 84747-0369

Mailing address

PO Box 132
30 South State Street
Teasdale, UT 84773-0132
Phone (435) 425-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240118004033 UT Practitioner - Marriage and Family Therapist 9436501004 Reassigns benefits to 1 organization
I20250407003506 UT Practitioner - Marriage and Family Therapist 9436501004 Practice locations: Teasdale, UT

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1133 E River Overlook Rd
Teasdale, UT 84773
Phone (435) 491-0132

128 S 300
Bicknell, UT 84715-7722
Phone (435) 425-3744

PO Box
Suite 132
Teasdale, UT 84773

PO Box
Suite 132
Teasdale, UT 84773-0132

PO Box
Suite 303
Bicknell, UT 84715-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Community Health Centers Inc Current Accepting new patients
Wayne Community Health Centers Inc CurrentSince Dec 6, 2023 Accepting new patients
Wayne Community Health Centers, Inc CurrentSince Dec 6, 2023 Accepting new patients
Raven Hall LLC Marriage & Family Therapist CurrentSince Feb 3, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDFCAD

Organizations & group practices 4

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609083716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "address_2": "30 SOUTH STATE STREET",
            "city": "TEASDALE",
            "state": "UT",
            "postal_code": "847730132",
            "telephone_number": "435-425-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASPEN RANCH",
            "address_2": "2000 W DRY VALLEY ROAD",
            "city": "LOA",
            "state": "UT",
            "postal_code": "847470369",
            "telephone_number": "435-836-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "271527-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loa, UT

Sources for this page

Verify at the official NPI Registry.