LILLY LANDIKUSIC (NPI# 1902084411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902084411 |
| Entity Type | Individual |
| Full Name | LILLY LANDIKUSIC |
| Credential | LMFT |
| Practice Address |
749 East Logan Avenue Salt Lake City UT 84105 |
| Mailing Address |
Po Box 12842 Ogden UT 84412-2842 |
| Practice Telephone | 8016951316 |
| Mailing Telephone | 8016951316 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 326490-3902 | UT | Behavioral Health & Social Service Providers |
| Street Address |
749 EAST LOGAN AVENUE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| 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 |
|---|---|---|---|---|
| 1265052880 | Sarah Dawn Finney | Marriage & Family Therapist | 3390 S Oakwood St, Salt Lake City, UT 84109-3073 | 2020-04-23 |
| 1871153320 | Kimberly Lawson | Marriage & Family Therapist | 1945 S 1100 E Ste 202, Salt Lake City, UT 84106-4092 | 2019-06-17 |
| 1699239988 | Meredith Barney | Marriage & Family Therapist | 1425 S 700 E, Salt Lake City, UT 84105-2125 | 2019-01-30 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1174098073 | Catherine Elizabeth Lundell | Marriage & Family Therapist | 4505 S Wasatch Blvd Ste 290, Salt Lake City, UT 84124-4204 | 2018-10-06 |
| 1114417219 | Utah Center for Couples and Families, Pllc | Marriage & Family Therapist | 4190 S Highland Dr Ste 104, Salt Lake City, UT 84124-2661 | 2018-05-14 |
| 1063948545 | Ryan C Smith | Marriage & Family Therapist | 1977 E Regal Stream Cv, Salt Lake City, UT 84121-5020 | 2017-05-03 |
| 1821453986 | Amanda Nelson | Marriage & Family Therapist | 2150 S Mcclelland St, Apt 217, Salt Lake City, UT 84106-2580 | 2015-12-16 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1861815813 | Karin Krueger | Marriage & Family Therapist | 923 E Executive Park Dr Ste D, Salt Lake City, UT 84117-3558 | 2014-01-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
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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.