Active NPI
Emilie Iliff, LAMFT
- Marriage & Family Therapist
- American Fork, UT
National Provider Identifier
1750820825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 10069853-3904
- Practice address
- 1062 E Bamberger Dr
American Fork, UT 84003-5504 - Phone
- (801) 642-2193
- NPI assigned
- Feb 21, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 | 10069853-3904 | UT | Primary |
Addresses
Primary practice location
1062 E Bamberger Dr
American Fork, UT 84003-5504
Mailing address
1062 E. Bamberger Dr.
American Fork, UT 84003-5155
Phone (801) 642-2193
Other practice location 1
1153 E 300 S
Provo, UT 84606-5155
Phone (801) 865-5966
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 |
|---|---|---|---|
| 10069853-3904 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750820825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 E. BAMBERGER DR.",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840035155",
"telephone_number": "801-642-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 E BAMBERGER DR",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840035504",
"telephone_number": "801-642-2193"
}
],
"practiceLocations": [
{
"address_1": "1153 E 300 S",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846065155",
"country_code": "US",
"telephone_number": "801-865-5966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILIFF",
"first_name": "EMILIE",
"credential": "LAMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "10069853-3904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in American Fork, UT
- Ihc Health Services Inc (UVRMC Rehab Physicians Billing)
- Ihc Health Services, Inc. (Intermountain American Fork Pharmacy)
- Ihc Health Services, Inc. (Intermountain Health American Fork Hospital)
- Ihc Health Services, Inc. (Intermountain Health Infusion Center- American Fork, A Service of Utah Valley Hospital)
- Amy Ihrig, BA, AAHCC, ASM, CPM,
- Jordan Iman
- Lisa Ann Ingo, MS, CCC-SLP
- Ischys Integrative Mental Wellness PLLC (Ischys Mental Wellness)
- Clint C Ivie, RPH
- Emily Jackson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.