Leesa Jo Burriss, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

11522450-3902 Issued in UT

Practice address

7905 S Chadbourne Dr Unit B
Cottonwood Heights, UT 84121-5808

Phone

(405) 600-4406

NPI assigned

Nov 24, 2019

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1982240008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 S CHADBOURNE DR UNIT B",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215808",
            "telephone_number": "405-600-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 S CHADBOURNE DR UNIT B",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215808",
            "telephone_number": "405-600-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRISS",
        "first_name": "LEESA",
        "middle_name": "JO",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "11522450-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Brooks
• Kallie Nicole Brown
• Bayley Elizabeth Bruner
• Mariah Bullock, PHD
• Matalyn M Bunn
• Mary Joann Butcher
• Malcolm Butler, LMSW
• Linda Butts
• Deidra Diane Buzzi Bertoldo
• Shawn Neil Bybee, DVM

• Marriage & Family Therapist in Cottonwood Heights, UT
• Providers in Cottonwood Heights, 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 Jan 12, 2022; 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.