Kayla Mennenga, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG 60501892 Issued in WA

Practice address

1675 N Freedom Blvd Ste 10B
Provo, UT 84604-6906

Phone

(801) 900-6056

NPI assigned

Jul 21, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 16, 2024 through Feb 16, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Grace Therapy & Healing PLLC

  dba Grace Therapy & Healing

  • Marriage & Family Therapist
  • Provo, UT
  • NPI 1588307961
  NPD

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1699128967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N FREEDOM BLVD STE 10B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046906",
            "telephone_number": "801-900-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N FREEDOM BLVD STE 10B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046906",
            "telephone_number": "801-900-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNENGA",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG 60501892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte Solomon Memmott, SSW
• Sydney Sarai Memmott
• Maurhy Alfredo Meneses
• Elias John Menet
• Samuel Alexander Menjivar
• Nefi Mera Nocelo
• Alexis Mercer
• Michael Aaron Merkley, D.D.S.
• Joseph Merrill, ATC
• Lilly Grace Merrill

• Marriage & Family Therapist in Provo, UT
• Providers in Provo, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.