Individual provider Active NPI

Makenzie Sieverts Foulger

  • Marriage & Family Therapist
  • Spanish Fork, UT
National Provider Identifier
1699439737
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
12874291-3902 Issued in UT
Practice address
958 N 200 E
Spanish Fork, UT 84660-1247
Phone
(801) 224-2313
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 12874291-3902 UT Primary

Addresses

Primary practice location

958 N 200 E
Spanish Fork, UT 84660-1247

Mailing address

958 N 200 E
Spanish Fork, UT 84660-1247
Phone (801) 224-2313

Other names 1

  • Kenzie Foulger Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411002360 UT Practitioner - Marriage and Family Therapist 1658710561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Behavioral Psychology LLCGroup PAC ID 1355436791, 9 clinicians

Practice addresses (Care Compare)

958 N 200
Spanish Fork, UT 84660-1247
Phone (801) 224-2313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1699439737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 N 200 E",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601247",
            "telephone_number": "801-224-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 N 200 E",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601247",
            "telephone_number": "801-224-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULGER",
        "first_name": "MAKENZIE",
        "middle_name": "SIEVERTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "12874291-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENZIE",
            "last_name": "FOULGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spanish Fork, UT

Sources for this page

Verify at the official NPI Registry.