Garry Richard Holbrook Sr., LCSW
Individual provider Active NPI Mental Health Counselor · Panguitch, UT
NPI 1013165802 · NPPES record last updated Jan 14, 2013
Key facts
- NPI
- 1013165802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 609 North Main
#3
Panguitch, UT 84759 - Phone
- (435) 676-3020
- Fax
- (435) 676-8832
- NPI assigned
- Sep 4, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
525 N Main St
Ephraim, UT 84627-1155
Phone (435) 283-4076
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130530000746 | UT | Practitioner - Clinical Social Worker | 7113165275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients |
Locations
130 White Sage Ave
Delta, UT 84624
Phone (435) 864-2708
525 N Main St
Ephraim, UT 84627
Phone (435) 283-4075
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441
1000 N Main St
Ste A
Richfield, UT 84701
Phone (435) 893-0580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | UT | Yes |
Addresses
Primary practice location
609 North Main
#3
Panguitch, UT 84759
Mailing address
PO Box 63
Panguitch, UT 84759-0063
Phone (435) 676-3020
Other providers in Panguitch, UT
- Garfield County
- Garfield County
- Garfield County
- Monica Kathleen Garvey
- Jeremiah Daniel Halstead
- Ihc Health Services Inc
- Shane Jensen
- Lynn Anne Maguire
- Lynda Marcks
- Samuel Ian Marshall
All providers in Panguitch, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.