Active NPI
Makenzie Shaughnessy
- Marriage & Family Therapist
- Draper, UT
National Provider Identifier
1689335986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 13194784-3902
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13194784-3902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Family Counseling, PLLC | Past | 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.
-
- Community/Behavioral Health Agency
- Draper, UT
- NPI 1992157622
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.