Active NPI
David Coan I, CSW
- Mental Health Counselor
- Cedar City, UT
National Provider Identifier
1013381771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 357005-3502
- Practice address
- 17 N 1150 W
Cedar City, UT 84720-2343 - Phone
- (435) 559-1067
- NPI assigned
- Nov 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 357005-3502 | UT | Primary |
Addresses
Primary practice location
17 N 1150 W
Cedar City, UT 84720-2343
Mailing address
17 N 1150 W
Cedar City, UT 84720-2343
Phone (435) 559-1067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 357005-3502 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1013381771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 N 1150 W",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847202343",
"telephone_number": "435-559-1067",
"fax_number": "435-586-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 N 1150 W",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847202343",
"telephone_number": "435-559-1067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAN",
"first_name": "DAVID",
"name_suffix": "I",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "357005-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.