Individual provider Active NPI

Carla Huffstetler, MFT

  • Marriage & Family Therapist
  • S Salt Lake, UT
National Provider Identifier
1962451567
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
373646-3902 Issued in UT
Practice address
724 E 2100 S
Suite B
S Salt Lake, UT 84106-1830
Phone
(801) 487-0499
Fax
(801) 487-7005
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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 373646-3902 UT Primary

Addresses

Primary practice location

724 E 2100 S
Suite B
S Salt Lake, UT 84106-1830

Mailing address

724 E 2100 S
Suite B
S Salt Lake, UT 84106-1830
Phone (801) 487-0499

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

LicenseStateTypeSpecialty
373646-3902UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LDS Family Services Past Accepting new patients

Organizations & group practices 1

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1962451567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E 2100 S",
            "address_2": "SUITE B",
            "city": "S SALT LAKE",
            "state": "UT",
            "postal_code": "841061830",
            "telephone_number": "801-487-0499",
            "fax_number": "801-487-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 E 2100 S",
            "address_2": "SUITE B",
            "city": "S SALT LAKE",
            "state": "UT",
            "postal_code": "841061830",
            "telephone_number": "801-487-0499",
            "fax_number": "801-487-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFSTETLER",
        "first_name": "CARLA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "373646-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.