Courtney Ann McDonough

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

94 E Pages LN Ste a
Centerville, UT 84014-2216

Phone

(801) 294-0578

Fax

(801) 298-2147

NPI assigned

May 16, 2013

Last updated

May 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resilient Solutions, Inc.

  • Professional Counselor
  • Bountiful, UT
  • NPI 1588821011
  NPD (past)
• LDS Family Services

  dba LDS Family Services wA Seattle Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
  • NPI 1073726485
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1023454022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 E PAGES LN STE A",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142216",
            "telephone_number": "801-294-0578",
            "fax_number": "801-298-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 E PAGES LN STE A",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142216",
            "telephone_number": "801-294-0578",
            "fax_number": "801-298-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Scott Mackay
• Shannon C Maguire, PT, DPT, FCP
• Rachel Maldonado, AMFT
• Connie Lynn Martinez, L.M.T.
• Matts Place
• McPherson Care Center LLC
• Markham McReynolds
• Kristin Michelle Miller, LMT
• Arnold Brett Morrill, D.O
• Deanna Rae Moultrie, PHARMD

• Clinical Social Worker in Centerville, UT
• Providers in Centerville, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.