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Maggi Leavitt , LMFT

Case Manager/Care Coordinator β€’ Ephraim, UT

Active NPI 1629419593 Individual Practitioner Female Practitioner
Practice location in NPPES

43 E 640 S
Ephraim, UT 846273029

Call 8014275436 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

43 E 640 S

Ephraim, UT 846273029

Telephone 8014275436
Fax 8014275436
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Provo, UT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Maggi Leavitt as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ephraim and Utah

3 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Ephraim, UT (4,389 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES UT 5040273-3902
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1835 N 1120 W

Provo, UT 846041180

Phone: 8016234770

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active December 21, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 21, 2017

Registered at 43 E 640 S, EPHRAIM, UT 846273029 (Tel: 8014275436)

πŸ“
Updated Business Mailing Address December 21, 2017

Registered at 43 E 640 S, EPHRAIM, UT 846273029 (Tel: 8014275436)

πŸ‘€
Provider Name / Credentials Updated December 21, 2017

Recorded as MAGGI LEAVITT, LMFT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2017

Counselor (license number reported to NPPES: UT 5040273-3902)

βœ…
NPI Profile Active July 08, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2013

Registered at 1835 N 1120 W, PROVO, UT 846041180 (Tel: 8016234770)

πŸ“
Business Mailing Address (Initial Record) July 08, 2013

Registered at 135 S 100 W, MT PLEASANT, UT 846471510 (Tel: 8014275436)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2013

Recorded as MAGGI QUACKENBUSH, MFTI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2013

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration July 08, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629419593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2013
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

43 E 640 S

Ephraim, UT 846273029

Phone: 8014275436

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.