LILLY LANDIKUSIC LMFT - NPI 1902084411 - Marriage & Family Therapist in Midvale, UT

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Lilly Landikusic Lmft NPPES

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

LILLY LANDIKUSIC LMFT (NPI 1902084411) is an individual marriage & family therapist in Midvale, Utah, licensed in Utah (326490-3902) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902084411

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLILLY LANDIKUSICCredential: LMFT

Location Address75 E FORT UNION BLVD STE 135Midvale, UT 84047-1531

Mailing AddressPo Box 12842Ogden, UT 84412-2842 · (801) 695-1316

Phone(801) 603-2547

Fax(801) 649-0964

Sole ProprietorNo

Enumeration DateFebruary 6, 2008

Last NPPES UpdateNovember 16, 2023

NPPES CertifiedNovember 16, 2023

✔ NPI 1902084411 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 · 326490-3902

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.

75 E FORT UNION BLVD STE 135, Midvale, UT 84047

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Lilly Landikusic 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 1, 2024 through January 1, 2026.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2026Opt-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.

LUCIA SMITH CSW

Social Worker (Clinical)