Individual provider Active NPI

Amanda Michelle Cavicchi

  • Marriage & Family Therapist
  • St George, UT
National Provider Identifier
1952691644
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
249 E Tabernacle St Ste 100
St George, UT 84770-2951
Phone
(617) 877-1224
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

249 E Tabernacle St Ste 100
St George, UT 84770-2951

Mailing address

13518 Fremont St
Yucaipa, CA 92399-5523
Phone (617) 877-1224

Other practice location 1

230 N 1680 E Bldg J
St George, UT 84790-2579
Phone (617) 877-1224

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250117001241 UT Practitioner - Marriage and Family Therapist 2365971454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 N State St
Suite 101
Hurricane, UT 84737-2351
Phone (617) 877-1224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Treatment & Counseling LLC CurrentSince Jan 15, 2025 Accepting new patients
Brain Power Counseling Services PLLC Marriage & Family Therapist CurrentSince Aug 5, 2025 Accepting new patients

Locations

415 N State St
Ste 101
Hurricane, UT 84737
Phone (617) 877-1224

249 E Tabernacle St
Ste 100
St George, UT 84770
Phone (435) 227-5506

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.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1952691644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13518 FREMONT ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995523",
            "telephone_number": "617-877-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E TABERNACLE ST STE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702951",
            "telephone_number": "617-877-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 N 1680 E Bldg J",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902579",
            "country_code": "US",
            "telephone_number": "617-877-1224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVICCHI",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.