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DR. CARLY D. L. LEBARON PH.D., LMFT
NPI 1013340801
Marriage & Family Therapist in Logan, UT

Active since August 15, 2013Opted out of Medicare · through Jan 17, 2028
95 GOLF COURSE RD STE 105, LOGAN, UT 84321(435) 915-6398 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Sep 5, 2018 (2 updates tracked since 2018).

About Dr. Carly D. L. Lebaron Ph.d., Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARLY D. L. LEBARON PH.D., LMFT (NPI 1013340801) is an individual marriage & family therapist in Logan, Utah, licensed in Utah (7820799-3902) and active in the NPI registry since August 2013. She has opted out of Medicare through January 17, 2028.

NPPES Registry Identity

NPI1013340801
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. CARLY D. L. LEBARONCredential: PH.D., LMFT
Location Address95 GOLF COURSE RD STE 105Logan, UT 84321-5990
Mailing Address95 Golf Course Rd Ste 105Logan, UT 84321-5990 · (435) 915-6398
Phone(435) 915-6398
Sole ProprietorNo
Enumeration DateAugust 15, 2013
Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1013340801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in UT · 7820799-3902
Definition
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.
95 GOLF COURSE RD STE 105, Logan, UT 84321
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Carly D. L. Lebaron Ph.d., Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 17, 2024 through January 17, 2028.

Opt-Out Effective DateJanuary 17, 2024
Opt-Out In Effect ThroughJanuary 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALEY JEAN FULLER
Marriage & Family Therapist
95 GOLF COURSE RD STE 105
LOGAN, UT 84321
Cache County (435) 915-6398
AMANDA CROSLAND
Social Worker
95 GOLF COURSE RD STE 105
LOGAN, UT 84321
Cache County (435) 915-6398
HANNA CONN MA
Marriage & Family Therapist
95 GOLF COURSE RD STE 105
LOGAN, UT 84321
Cache County (435) 915-6398
JULIA PETERSON CSW
Social Worker (Clinical)
95 GOLF COURSE RD STE 105
LOGAN, UT 84321
Cache County (435) 915-6398
EMBRACING AUTHENTICITY INC
Clinic/Center (Multi-Specialty)
95 GOLF COURSE RD STE 105
LOGAN, UT 84321
Cache County (435) 915-6398
MADELEINE PUGMIRE LCSW
Social Worker (Clinical)
95 GOLF COURSE RD STE 105
LOGAN, UT 84321
Cache County (435) 915-6398

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Lebaron's NPI number?

The NPI number for Carly Lebaron is 1013340801. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Carly Lebaron located?

Carly Lebaron practices at 95 Golf Course Rd Ste 105, Logan, UT 84321. The listed phone number is (435) 915-6398.

What is Carly Lebaron's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Carly Lebaron enrolled in Medicare?

No. Carly Lebaron has opted out of Medicare through January 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Carly Lebaron accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Carly Lebaron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Lebaron was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.