Lilly Landikusic, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

326490-3902 Issued in UT

Practice address

75 E Fort Union Blvd Ste 135
Midvale, UT 84047-1531

Phone

(801) 603-2547

Fax

(801) 649-0964

NPI assigned

Feb 6, 2008

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Youth Empowerment Project LLC

  • Marriage & Family Therapist
  • Salt Lake City, UT
  • NPI 1780904482
  NPD Authorized official
• Empowerment Counseling Services

  • Marriage & Family Therapist
  • Clearfield, UT
  • NPI 1871542803
  NPD (past) Authorized official

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1902084411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12842",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844122842",
            "telephone_number": "801-695-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E FORT UNION BLVD STE 135",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471531",
            "telephone_number": "801-603-2547",
            "fax_number": "801-649-0964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 S 500 E Ste 170",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "UT",
            "postal_code": "840154027",
            "country_code": "US",
            "telephone_number": "801-603-2547",
            "fax_number": "801-649-0964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 E Fort Union Blvd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840471531",
            "country_code": "US",
            "telephone_number": "801-603-2547",
            "fax_number": "801-649-0964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDIKUSIC",
        "first_name": "LILLY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "326490-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalli Kronmiller
• Steven K Kuwahara, RPH, PHD
• Fan Lee Kwan, MSW
• Ellie Kristine Lambert
• Elaine Lamoreaux
• Patrick Barde Lang, PA-C
• Cory A Larsen, RPH
• Danette Lee Larsen, CMHC
• Patti Alyssa Larsen, RN
• Andrea Dixie Larson, L.C.S.W.

• Marriage & Family Therapist in Midvale, UT
• Providers in Midvale, 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 Nov 16, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.