Tyne Hiatt, CMHC

Key facts

NPI

1003597089

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

12862008-6004 (UT)

Practice address

572 N 4550 W
West Point, UT 84015-6965

Phone

(801) 616-8250

NPI assigned

Jul 31, 2023

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 24, 2024.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1003597089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 N 4550 W",
            "city": "WEST POINT",
            "state": "UT",
            "postal_code": "840156965",
            "telephone_number": "801-616-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 N 4550 W",
            "city": "WEST POINT",
            "state": "UT",
            "postal_code": "840156965",
            "telephone_number": "801-616-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4625 S 2300 E",
            "address_purpose": "LOCATION",
            "city": "Holladay",
            "state": "UT",
            "postal_code": "841174583",
            "country_code": "US",
            "telephone_number": "801-865-1453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIATT",
        "first_name": "TYNE",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12862008-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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