Individual provider Active NPI

Heidi Hadlock-Evans, LMFT

  • Marriage & Family Therapist
  • Layton, UT
National Provider Identifier
1629471370
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
8300486-3902 Issued in UT
Practice address
27 S Main St # 201
Layton, UT 84041-3704
Phone
(801) 529-6131
NPI assigned
Oct 8, 2014
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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 8300486-3902 UT Primary

Addresses

Primary practice location

27 S Main St # 201
Layton, UT 84041-3704

Mailing address

7721 W 900 S
Ogden, UT 84404-9270
Phone (801) 529-6131

Other names 1

  • Heidi Hadlock-Evans Professional name

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
8300486-3902UTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1629471370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 W 900 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844049270",
            "telephone_number": "801-529-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S MAIN ST # 201",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413704",
            "telephone_number": "801-529-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLOCK-EVANS",
        "first_name": "HEIDI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "8300486-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "HADLOCK-EVANS",
            "credential": "LMFT, MRC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.