Mykenna Rose Dutton

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

230 N 1680 E Ste D1
St George, UT 84790-2576

Phone

(435) 705-9571

Fax

(435) 922-0778

NPI assigned

Jan 29, 2022

Last updated

Jan 29, 2022By the provider in NPPES

Sex

Female

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nichole Rammell Counseling Services

  dba Sunrise Mental Health Services

  • Clinical Social Worker
  • St George, UT
  • NPI 1245833870
  Medicare reassignment NPD

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1881347938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE D1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902576",
            "telephone_number": "435-705-9571",
            "fax_number": "435-922-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE D1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902576",
            "telephone_number": "435-705-9571",
            "fax_number": "435-922-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "MYKENNA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadley Dustin
• Madison Dustin
• Donna Duthrie, RBT
• Aria Dutson
• Stephanie Dutson, SSW
• Adam H. Dye, FNP
• Bricanei A Dyer, D.D.S.
• Sydnee Dyer
• Dynamic Physical Therapy & Wellness LLC
• Dynasty Diagnostics

• Marriage & Family Therapist in St George, UT
• Providers in St George, 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 Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.