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

NPI Status: Active since February 06, 2008

Contact Information

75 E FORT UNION BLVD STE 135
MIDVALE, UT
ZIP 84047
Phone: (801) 603-2547
Fax: (801) 649-0964

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  • Individual
  • Female
  • Marriage & Family Therapist
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About LILLY LANDIKUSIC

This page provides the complete NPI Profile along with additional information for Lilly Landikusic, a provider established in Midvale, Utah with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1902084411 assigned on February 2008. The practitioner's primary taxonomy code is 106H00000X with license number 326490-3902 (UT). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1902084411
Provider Name
LILLY LANDIKUSIC LMFT
Gender
Female
Entity Type
Individual
Location Address
75 E FORT UNION BLVD STE 135 MIDVALE, UT 84047
Location Phone
(801) 603-2547
Location Fax
(801) 649-0964
Mailing Address
PO BOX 12842 OGDEN, UT 84412
Mailing Phone
(801) 695-1316
Is Sole Proprietor?
No
Enumeration Date
02-06-2008
Last Update Date
11-16-2023
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A marriage and family therapist like Lilly Landikusic help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lilly Landikusic opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
326490-3902
License State
UT
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 1500 - EPO
  • Regence Standard Silver 5000 - EPO
  • Silver 5000 - EPO
  • Silver 6200 - EPO
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Signature Benchmark Gold - HMO
  • Signature Benchmark Gold Standardized Plan - HMO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Lilly Landikusic is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2024

  • Opt-Out End Date: 01-01-2026

  • Eligible to Order and Refer? No

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for LILLY LANDIKUSIC LMFT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902084411
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290208842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 0 + 8 + 8 + 4 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1902084411 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457931180 LUCIA SMITH CSW
Individual
Social Worker (Clinical)75 E FORT UNION BLVD STE 135
MIDVALE, UT 84047
(801) 603-2547
1831678168 KATHRYN ANNE ROSE MSW-I
Individual
Marriage & Family Therapist75 E FORT UNION BLVD STE 135
MIDVALE, UT 84047
(801) 603-2547
1861121899 HENA JOHN-FISK CSWI
Individual
Social Worker (Clinical)75 E FORT UNION BLVD STE 135
MIDVALE, UT 84047
(801) 603-2547
1750989919 ERIN J WILSON
Individual
Social Worker (Clinical)75 E FORT UNION BLVD STE 135
MIDVALE, UT 84047
(801) 603-2547
1104677392MR. MICHAEL WILLIAM DAHLGREN
Individual
Counselor (Mental Health)75 E FORT UNION BLVD STE 135
MIDVALE, UT 84047
(801) 603-2547
1952820318 BETTY ROOS
Individual
Marriage & Family Therapist75 E FORT UNION BLVD STE 135
MIDVALE, UT 84047
(801) 603-2547

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902084411, enumerated in the NPI registry as an "individual" on February 06, 2008

The provider is located at 75 E Fort Union Blvd Ste 135 Midvale, Ut 84047 and the phone number is (801) 603-2547

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

The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

No, the provider signed an affidavit on January 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.

This NPI record was last updated on February 06, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.