Maximum Potential

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

11209--3902 Issued in UT

Legal business name

MAXIMUM POTENTIAL

Practice address

9067 S 1300 W Ste 204
West Jordan, UT 84088-5582

Phone

(801) 748-2192

Fax

(385) 234-4822

NPI assigned

Oct 4, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bernell L Christensen, LMFT PH.D

Title

Owner

Phone

(801) 330-3651

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1871845685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9067 S 1300 W STE 204",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885582",
            "telephone_number": "801-748-2192",
            "fax_number": "385-234-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9067 S 1300 W STE 204",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885582",
            "telephone_number": "801-748-2192",
            "fax_number": "385-234-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "BERNELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-330-3651",
        "authorized_official_credential": "LMFT PH.D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "293367-6004",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "11209--3902",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "6972251-3902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hunter Matthews, MD
• Samantha L Matz, MS, CSCS
• Athena Mauga
• Trevor Mauss
• Kayla Maxfield, LCSW
• Brin Maxwell
• Joshua Brent Maxwell, MD
• Tess Maxwell
• Mark May, MD
• Robin Mayetani, RPH

• Marriage & Family Therapist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.