NPIMap

Organization Active NPI

Penelope Eicher MFT Inc

Doing business as Life Change

  • Marriage & Family Therapist
  • St George, UT
National Provider Identifier
1619025947
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116677-3902 Issued in UT
Legal business name
PENELOPE EICHER MFT INC
Doing business as
Life Change
Practice address
437 S Bluff St
Suite 202
St George, UT 84770
Phone
(435) 673-1483
Fax
(435) 674-9380
NPI assigned
Jan 5, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Ms. Penelope Eicher, LMFTNPI 1619207669
Title
President of LLC Marriage & Family
Phone
(435) 673-1483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 116677-3902 UT Primary

Addresses

Primary practice location

437 S Bluff St
Suite 202
St George, UT 84770

Mailing address

437 S Bluff St
Suite 202
St George, UT 84770
Phone (435) 673-1483

Other names 1

  • Life Change Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1619025947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S BLUFF ST",
            "address_2": "SUITE 202",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-673-1483",
            "fax_number": "435-674-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S BLUFF ST",
            "address_2": "SUITE 202",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-673-1483",
            "fax_number": "435-674-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENELOPE EICHER MFT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "EICHER",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "PRESIDENT OF LLC MARRIAGE & FAMILY",
        "authorized_official_telephone_number": "435-673-1483",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "116677-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.