Angie Berry, LMFT
Individual provider Active NPI Marriage & Family Therapist · Riverdale, UT
NPI 1669726741 · NPPES record last updated Oct 25, 2018
Key facts
- NPI
- 1669726741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 341397-3904 (UT)
- Practice address
- 5149 S 1500 W
Riverdale, UT 84405-3926 - Phone
- (801) 475-0402
- Fax
- (801) 475-7464
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deborah a Christensen PHD and Associates, Inc
Practice addresses (Care Compare)
248 E 13800
Suite 4
Draper, UT 84020-5011
Phone (702) 483-5044
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250917001671 | UT | Practitioner - Marriage and Family Therapist | 3072017656 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341397-3904 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah a Christensen PHD & Associates, Inc | Current |
Accepting new patients |
Locations
248 E 13800 S
Ste 4
Draper, UT 84020
Phone (702) 483-5044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 341397-3904 | UT | Yes |
Addresses
Primary practice location
5149 S 1500 W
Riverdale, UT 84405-3926
Mailing address
5149 S 1500 W
Riverdale, UT 84405-3926
Phone (801) 475-0402
Other providers in Riverdale, UT
- Amanda Grace Bassett
- Makenzie Fay Baxter
- Amanda Bean
- Erin Becraft
- McKayla Bedwell
- Macady Brooke Birch
- Ashlyn Joy Bird
- Nicail Black
- Lisa Jolene Blake
- Shaelyn Bond
All providers in Riverdale, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.