Active NPI
Tracy Christopulos Harward, LMFT
- Marriage & Family Therapist
- Draper, UT
National Provider Identifier
1952348005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 49329473902
- Practice address
- 782 Pioneer Rd
Draper, UT 84020 - Phone
- (801) 413-7471
- Fax
- (801) 566-2639
- NPI assigned
- May 31, 2006
- Sex
- Female
- 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 | 49329473902 | UT | Primary |
Addresses
Primary practice location
782 Pioneer Rd
Draper, UT 84020
Mailing address
12613 S Fort St
Draper, UT 84020-9382
Phone (801) 671-6225
Other names 1
- Mrs. Tracy Christopulos Harward
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49329473902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442534400000",
"number": "1952348005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12613 S FORT ST",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209382",
"telephone_number": "801-671-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "782 PIONEER RD",
"city": "DRAPER",
"state": "UT",
"postal_code": "84020",
"telephone_number": "801-413-7471",
"fax_number": "801-566-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARWARD",
"first_name": "TRACY",
"middle_name": "CHRISTOPULOS",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2015-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "49329473902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "CHRISTOPULOS HARWARD",
"prefix": "MRS.",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.