Gary Tyler Lefevor, PHD
NPI 1477091650ActiveIndividual· Psychologist, Counseling· Logan, UT
Opted out of Medicare from November 2024 to November 2026. Psychologist, Counseling (PHD) in Logan, Utah, licensed in UT, with an NPI issued in February 2017.
Overview
| NPI | 1477091650 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Feb 7, 2017 |
| Last updated in NPPES | Mar 13, 2024 |
| Certified by provider | Mar 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 11642799-2501 | UT |
| Psychologist, Counseling | 103TC1900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Nov 13, 2024 – Nov 13, 2026 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Other Psychologist, Counseling providers in Logan
- 1184473647
- 1457371189