Active NPI
Shane A Whiting, PH.D., LMFT
- Marriage & Family Therapist
- Heber City, UT
National Provider Identifier
1881963254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 5691843-3902
- Practice address
- 3725 S Big Hollow Rd
Heber City, UT 84032-3978 - Phone
- (435) 709-7050
- Fax
- (801) 904-0077
- NPI assigned
- Dec 14, 2011
- 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 | 5691843-3902 | UT | Primary |
Addresses
Primary practice location
3725 S Big Hollow Rd
Heber City, UT 84032-3978
Mailing address
63 E 11400 S
#186
Sandy, UT 84070-6705
Phone (435) 709-7050
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5691843-3902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspiro Education LLC Dba Daniels Academy | Past | Accepting new patients | |
| Daniels Academy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Heber City, UT
- NPI 1851705669
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Heber City, UT
- NPI 1144515503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1881963254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 E 11400 S",
"address_2": "#186",
"city": "SANDY",
"state": "UT",
"postal_code": "840706705",
"telephone_number": "435-709-7050",
"fax_number": "801-904-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 S BIG HOLLOW RD",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840323978",
"telephone_number": "435-709-7050",
"fax_number": "801-904-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITING",
"first_name": "SHANE",
"middle_name": "A",
"credential": "PH.D., LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-14",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "5691843-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Heber City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.