Individual provider Active NPI

Emilie Iliff, LAMFT

  • Marriage & Family Therapist
  • American Fork, UT
National Provider Identifier
1750820825
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10069853-3904 Issued in UT
Practice address
1062 E Bamberger Dr
American Fork, UT 84003-5504
Phone
(801) 642-2193
NPI assigned
Feb 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 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

LicenseStateTypeSpecialty
10069853-3904UTMDMarriage & 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

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.

Verify at the official NPI Registry.