Individual provider Active NPI

Bracken Lovell, AMFT

  • Marriage & Family Therapist
  • St George, UT
National Provider Identifier
1992503353
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
13723343-3904 Issued in UT
Practice address
1173 S 250 W Ste 208
St George, UT 84770-6747
Phone
(435) 688-1111
NPI assigned
Mar 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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 13723343-3904 UT Primary

Addresses

Primary practice location

1173 S 250 W Ste 208
St George, UT 84770-6747

Mailing address

1173 S 250 W Ste 208
St George, UT 84770-6747
Phone (435) 688-1111

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
I20250807001457 UT Practitioner - Marriage and Family Therapist 4284132556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Couples and FamiliesGroup PAC ID 8224369897, 16 clinicians

Practice addresses (Care Compare)

1173 S 250
Suite 208
Saint George, UT 84770-6747
Phone (435) 688-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13723343-3904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Couples & Families Marriage & Family Therapist CurrentSince Mar 11, 2025 Accepting new patients
Center for Couples & Families Marriage & Family Therapist CurrentSince Jul 23, 2025 Accepting new patients

Locations

95 White Sage Ave
#A
Delta, UT 84624

635 N Main St
Ste 683
Richfield, UT 84701
Phone (435) 691-5644

1173 S 250 W
Ste 208
St George, UT 84770
Phone (435) 632-6900

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": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1992503353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 S 250 W STE 208",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706747",
            "telephone_number": "435-688-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 S 250 W STE 208",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706747",
            "telephone_number": "435-688-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "BRACKEN",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "13723343-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.