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DOLORES MICHAEL LMFT
NPI 1336699339
Marriage & Family Therapist in Logan, UT

Active since October 13, 2016Opted out of Medicare · through Jan 12, 2028
274 N MAIN ST, LOGAN, UT 84321(435) 881-0584 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2021, Oct 13, 2016 (2 updates tracked since 2016).

About Dolores Michael Lmft NPPES

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

DOLORES MICHAEL LMFT (NPI 1336699339) is an individual marriage & family therapist in Logan, Utah, licensed in Utah (9037739-3902) and active in the NPI registry since October 2016. She has opted out of Medicare through January 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336699339
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDOLORES MICHAELCredential: LMFT
Location Address274 N MAIN STLogan, UT 84321-3915
Mailing Address560 W 465 N Ste 604Providence, UT 84332-8006 · (435) 753-1600
Phone(435) 881-0584
Sole ProprietorYes
Enumeration DateOctober 13, 2016
Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1336699339 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 · 9037739-3902
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.
274 N MAIN ST, 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

Dolores Michael 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 12, 2024 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2024
Opt-Out In Effect ThroughJanuary 12, 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 20

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

NIQUELLE BAXTER
Counselor (Mental Health)
274 N MAIN ST
LOGAN, UT 84321
Cache County (435) 213-9278
PETER C DAINES
Anesthesiology
274 N MAIN ST
LOGAN, UT 84321
Cache County (435) 753-1600
VIKAS GARG M.D.
Anesthesiology (Pain Medicine)
274 N MAIN ST
LOGAN, UT 84321
Cache County (435) 753-1600
MITCHELL R UDY
Audiologist
274 N MAIN ST
LOGAN, UT 84321
Cache County (435) 753-1600
LYMAN B STEVENS M.D.
Anesthesiology
274 N MAIN ST
LOGAN, UT 84321
Cache County (435) 753-1600
RICHARD B PALFREYMAN M.D.
Anesthesiology
274 N MAIN ST
LOGAN, UT 84321
Cache County (435) 753-1600
CRAIG BURDETT P.A.
Physician Assistant
274 N MAIN ST
LOGAN, UT 84321
Cache County (435) 753-1600
EDWIN MARLOWE GOBLE MD
Orthopaedic Surgery
274 N MAIN ST
LOGAN, UT 84321
Cache County (435) 753-1600

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 Dolores Michael's NPI number?

The NPI number for Dolores Michael is 1336699339. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Where is Dolores Michael located?

Dolores Michael practices at 274 N Main St, Logan, UT 84321. The listed phone number is (435) 881-0584.

What is Dolores Michael's specialty?

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

Is Dolores Michael enrolled in Medicare?

No. Dolores Michael has opted out of Medicare through January 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Dolores Michael accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Dolores Michael 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 Dolores Michael was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.