COMMUNITY COUNSELING CENTER OF SOUTHERN UTAH (NPI# 1992823249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992823249 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING CENTER OF SOUTHERN UTAH |
| Practice Address |
168 N 100 E Ste 204 St George UT 84770-2893 |
| Mailing Address |
Po Box 3001 Cedar City UT 84721-3001 |
| Practice Telephone | 4356749449 |
| Mailing Telephone | 4356524142 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | CHRIS DOSS (REGISTERED AGENT) |
| Authorized Official Telephone | 4356698970 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | D7215 | 05 |
| Street Address |
168 N 100 E STE 204 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-2893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225568959 | Redhead Supports-ut | Community/Behavioral Health | 929 W Sunset Blvd Ste 21-142, St George, UT 84770-4865 | 2017-06-15 |
| 1538614219 | Bruce Gottlieb LLC | Community/Behavioral Health | 2346 Kaibab Cir, St George, UT 84790-8060 | 2016-08-23 |
| 1700092236 | Metro Treatment of Utah Lp | Community/Behavioral Health | 620 South 400 East, Suite 404, St George, UT 84770-7065 | 2007-05-14 |
| 1457863771 | Crimson Counseling LLC | Community/Behavioral Health | 249 E Tabernacle St Ste 100, St George, UT 84770-2951 | 2017-10-26 |
| 1992256127 | Lds Family Services | Community/Behavioral Health | 2480 Red Cliffs Dr, St George, UT 84790-5457 | 2016-10-24 |
| 1275913287 | Forte Strong | Community/Behavioral Health | 249 E Tabernacle St Ste 301, St George, UT 84770-2995 | 2015-06-04 |
| 1073790655 | Colbren Management LLC | Community/Behavioral Health | 1071 E 100 S, Suite D3s, St George, UT 84770-3070 | 2008-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571306 | Alliance Counseling Utah | Community/Behavioral Health | 47 W 9000 S Ste 1, Sandy, UT 84070-2043 | 2020-08-31 |
| 1609489939 | The Arise Society | Community/Behavioral Health | 784 S River Ridge Ln, Spanish Fork, UT 84660-4712 | 2020-08-26 |
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1841809324 | Mind and Matter Therapy | Community/Behavioral Health | 75 E Fort Union Blvd # 116, Midvale, UT 84047-1531 | 2020-07-30 |
| 1952927410 | Harmony Therapy Center LLC | Community/Behavioral Health | 752 E 1300 N, Pleasant Grove, UT 84062-1995 | 2020-06-22 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1407479538 | Onwardlife | Community/Behavioral Health | 2998 E 9690 S, Sandy, UT 84092-3542 | 2020-05-23 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1346875382 | Recovery Innovations Inc | Community/Behavioral Health | 2411 S 1070 W Ste A, West Valley City, UT 84119-1569 | 2020-03-10 |
| 1144854944 | Brenna M. Schaffer | Community/Behavioral Health | 950 E 600 S, Heber City, UT 84032-4469 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.