Active NPI
Garret Roundy, AMFT
- Marriage & Family Therapist
- Provo, UT
National Provider Identifier
1710398532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 82009373904
- Practice address
- 3507 N University Ave
#350
Provo, UT 84604-4478 - Phone
- (801) 477-0041
- NPI assigned
- May 14, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 82009373904 | UT | Primary |
Addresses
Primary practice location
3507 N University Ave
#350
Provo, UT 84604-4478
Mailing address
7337 S Chris LN
Cottonwood Heights, UT 84121-4803
Phone (801) 592-2429
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 |
|---|---|---|---|
| 82009373904 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1710398532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7337 S CHRIS LN",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841214803",
"telephone_number": "801-592-2429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 N UNIVERSITY AVE",
"address_2": "#350",
"city": "PROVO",
"state": "UT",
"postal_code": "846044478",
"telephone_number": "801-477-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUNDY",
"first_name": "GARRET",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "82009373904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.