Peter Rockford Merrell, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

14119595-3904 Issued in UT

Practice address

12523 S Pasture Rd Ste 250
Riverton, UT 84096-4842

Phone

(801) 796-2039

NPI assigned

Oct 2, 2024

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• R&K Marcroft, Inc

  • Clinical Social Worker
  • Draper, UT
  • NPI 1255818233
  NPD (past)

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1760200281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 S PASTURE RD STE 250",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840964842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12523 S PASTURE RD STE 250",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840964842",
            "telephone_number": "801-796-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRELL",
        "first_name": "PETER",
        "middle_name": "ROCKFORD",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "14119595-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lee McElreath, CPCI
• Keely McGee, LCSW
• Allison McLeod, RD
• Aimee McPhie, ACMHC
• Robert Lawrence Mechling, D.C.
• Tanner Scott Mertlich
• Jennifer Mijer, M.D.
• Leslie Miles, SSW
• Charles Brigham Miller
• Shana Miller

• All providers in Riverton, UT
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.