1992437768 NPI number — KRISTIANE MADSEN DONAT LMFT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992437768 NPI number — KRISTIANE MADSEN DONAT LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DONAT
Provider First Name:
KRISTIANE
Provider Middle Name:
MADSEN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DONAT
Provider Other First Name:
KRISTI
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1992437768
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
938 UNIVERSITY PARK BLVD STE 130
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEARFIELD
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84015-6284
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-896-3376
Provider Business Mailing Address Fax Number:
888-388-0398

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
938 UNIVERSITY PARK BLVD STE 130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEARFIELD
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84015-6284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-896-3376
Provider Business Practice Location Address Fax Number:
888-388-0398
Provider Enumeration Date:
06/29/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  7787806-3902 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HT008911-001 . This is a "UHIN" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".




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