MR. DANIEL ALLEN BURGESS (NPI# 1285189514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285189514 |
| Entity Type | Individual |
| Full Name | MR. DANIEL ALLEN BURGESS |
| Credential | LMFT |
| Practice Address |
4665 Mile High Dr Provo UT 84604-6311 |
| Mailing Address |
Po Box 902 Provo UT 84603-0902 |
| Practice Telephone | 4084314443 |
| Mailing Telephone | 4084314443 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 11952129-3902 | UT | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 105383 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447584073 | Daniel Burgess | Technician, Other | 1503 Ridglea Dr, Midland, TX 79701-2616 | 2009-09-29 |
| 1134647977 | Daniel Burgess | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3380 | 2017-08-31 |
| 1861804247 | Daniel Burgess | Surgery | 477 N El Camino Real Ste C204, Encinitas, CA 92024-1332 | 2014-05-20 |
| 1073894531 | Daniel John Burgess | Physician Assistant | 1000 South Ave, Rochester, NY 14620-2733 | 2011-08-29 |
| 1639470479 | Daniel Arthur Burgess | Social Worker | 201 Sheldon Blvd Se, Grand Rapids, MI 49503-4513 | 2010-11-10 |
| Street Address |
4665 MILE HIGH DR |
| City | PROVO |
| State | UT |
| Zip Code | 84604-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288462 | Ascent Family Therapy, Inc | Counselor | 4665 Mile High Dr, Provo, UT 84604-6311 | 2019-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861996621 | Angeline Lloyd | Marriage & Family Therapist | 1675 N Freedom Blvd Ste 5b, Provo, UT 84604-2555 | 2018-03-19 |
| 1518407964 | Flourish Counseling Services Pllc | Marriage & Family Therapist | 91 W 200 S, Provo, UT 84601-4443 | 2017-03-05 |
| 1235519067 | Erin Rackham | Marriage & Family Therapist | 3507 N University Ave Ste 350, Provo, UT 84604-6602 | 2015-06-06 |
| 1265811368 | Joanna Sumsion | Marriage & Family Therapist | 4626 N 300 W, Provo, UT 84604-7763 | 2015-05-21 |
| 1982026829 | Emily Freeze | Marriage & Family Therapist | 1881 N 1120 W, Provo, UT 84604 | 2014-01-13 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1255696423 | Marni K Winkel-reeve | Marriage & Family Therapist | 37 E Center St, Suite #208, Provo, UT 84606-3156 | 2012-07-12 |
| 1033421847 | Mark J Mauzy | Marriage & Family Therapist | 755 S 400 W, Provo, UT 84601-5855 | 2010-07-09 |
| 1588984835 | Ty R. Mansfield | Marriage & Family Therapist | 667 N 1890 W, Provo, UT 84601-1326 | 2010-06-09 |
| 1447481205 | Jeffrey Brown Jackson | Marriage & Family Therapist | 450 N University Ave, Suite 204, Provo, UT 84601-2860 | 2009-07-28 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.