Active NPI
Robin Paul Shepley, LMFT
- Marriage & Family Therapist
- Provo, UT
National Provider Identifier
1861720567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 6966084-3902
- Practice address
- 1161 E 300 N
Provo, UT 84606-3539 - Phone
- (801) 367-1425
- Fax
- (801) 375-4045
- NPI assigned
- Nov 18, 2009
- Sex
- Male
- 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 | 6966084-3902 | UT | Primary |
Addresses
Primary practice location
1161 E 300 N
Provo, UT 84606-3539
Mailing address
1136 W 450 N
Provo, UT 84601-2520
Phone (801) 602-0969
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6966084-3902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1861720567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 W 450 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846012520",
"telephone_number": "801-602-0969",
"fax_number": "801-375-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 E 300 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846063539",
"telephone_number": "801-367-1425",
"fax_number": "801-375-4045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPLEY",
"first_name": "ROBIN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "6966084-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.