MEDICARE: MRS. DANA ROBISON EMMONS MA, LMFT, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	985	OK
2	106H00000X	Marriage & Family Therapist	668	OK
3	106H00000X	Marriage & Family Therapist	10143380-3902	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255424610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA ROBISON EMMONS MA, LMFT, LPC

Provider Business Mailing Address
First Line	:	11038 HIGHLAND BLVD
Second Line	:
City	:	HIGHLAND
State	:	UT
Zip	:	84003-3785
Country	:	US
Telephone Number	:	801-655-5450
Fax Number	:

Provider Business Practice Location Address
First Line	:	11038 HIGHLAND BLVD
Second Line	:
City	:	HIGHLAND
State	:	UT
Zip	:	84003-3785
Country	:	US
Telephone Number	:	801-655-5450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	06/14/2026

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