Active NPI
Merle N Diaz
- Marriage & Family Therapist
- Provo, UT
National Provider Identifier
1851898829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 9526464-3902
- Practice address
- 3355 N University Ave Ste 250
Provo, UT 84604-6640 - Phone
- (972) 832-6154
- NPI assigned
- Apr 6, 2018
- 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 | 9526464-3902 | UT | Primary |
Addresses
Primary practice location
3355 N University Ave Ste 250
Provo, UT 84604-6640
Mailing address
3355 N University Ave Ste 250
Provo, UT 84604-6640
Other names 1
- Merle Natasha Bates
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 |
|---|---|---|---|
| 9526464-3902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hughes Therapy 1 | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Covenant Sex Therapy
- Community/Behavioral Health Agency
- Provo, UT
- NPI 1134514169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1851898829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 N UNIVERSITY AVE STE 250",
"city": "PROVO",
"state": "UT",
"postal_code": "846046640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 N UNIVERSITY AVE STE 250",
"city": "PROVO",
"state": "UT",
"postal_code": "846046640",
"telephone_number": "972-832-6154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MERLE",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-06",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "9526464-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MERLE",
"last_name": "BATES",
"middle_name": "NATASHA",
"code": "1",
"type": "Former Name"
}
]
}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 Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.