Individual provider Active NPI

Penelope Eicher, LMFT

  • Marriage & Family Therapist
  • St George, UT
National Provider Identifier
1619207669
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116677-3902 Issued in UT
Practice address
437 S Bluff St
Suite 202
St George, UT 84770-3592
Phone
(435) 673-1483
Fax
(435) 674-9380
NPI assigned
Jan 13, 2010
Last updated
Jan 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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 116677-3902 UT Primary

Addresses

Primary practice location

437 S Bluff St
Suite 202
St George, UT 84770-3592

Mailing address

437 S Bluff St
Suite 202
St George, UT 84770-3592
Phone (435) 673-1483

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

State licenses

LicenseStateTypeSpecialty
116677-3902UTMDMarriage & Family Therapist

Organizations & group practices 1

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": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1619207669",
    "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": "847703592",
            "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": "847703592",
            "telephone_number": "435-673-1483",
            "fax_number": "435-674-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHER",
        "first_name": "PENELOPE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "116677-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 13, 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.

Verify at the official NPI Registry.