Individual provider Active NPI

Makenzie Shaughnessy

  • Marriage & Family Therapist
  • Draper, UT
National Provider Identifier
1689335986
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
13194784-3902 Issued in UT
Practice address
13552 S 110 W Ste 204
Draper, UT 84020-2403
Phone
(801) 432-0883
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 13194784-3902 UT Primary

Addresses

Primary practice location

13552 S 110 W Ste 204
Draper, UT 84020-2403

Mailing address

13552 S 110 W Ste 204
Draper, UT 84020-2403
Phone (435) 255-8667

Other practice location 1

3130 W Maple Loop Dr # G100
Lehi, UT 84043-5672
Phone (385) 600-7036

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
13194784-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Family Counseling, PLLC PastSince Jan 17, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1689335986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13552 S 110 W STE 204",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202403",
            "telephone_number": "435-255-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13552 S 110 W STE 204",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202403",
            "telephone_number": "801-432-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 W Maple Loop Dr # G100",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840435672",
            "country_code": "US",
            "telephone_number": "385-600-7036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAUGHNESSY",
        "first_name": "MAKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "13194784-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.