Ivy Christiansen, LMFT
Individual provider Active NPI Marriage & Family Therapist · Herriman, UT
NPI 1831804087 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1831804087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 122600593902 (UT)
- Practice address
- 4924 W Desert Sage Dr
Herriman, UT 84096-3436 - Phone
- (801) 906-1074
- NPI assigned
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122600593902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children Deserve More | Current |
Accepting new patients | |
| Rosecrest Mental Health PLLC | Current | Accepting new patients | |
| Willow Therapy Services, LLC | Marriage & Family Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 122600593902 | UT | Yes |
Addresses
Primary practice location
4924 W Desert Sage Dr
Herriman, UT 84096-3436
Mailing address
4924 W Desert Sage Dr
Herriman, UT 84096-3436
Other providers in Herriman, UT
- Joseph Chang
- Elizabeth Valene Cheney
- Children Deserve More
- Jamie Marie Chlarson
- Sharlene Christensen
- Sheena Jo Christison
- Victor Clark
- Brett Morgan Clement
- Joylyn Cluny
- Mackenzie Diane Cook
All providers in Herriman, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.