Individual provider Active NPI

Stella J Gutierrez, ACMHC

  • Counselor
  • Price, UT
National Provider Identifier
1043990021
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
11878334-6009 Issued in UT
Practice address
70 W Main St
Price, UT 84501-2804
Phone
(435) 637-0171
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11878334-6009 UT Primary

Addresses

Primary practice location

70 W Main St
Price, UT 84501-2804

Mailing address

70 W Main St
Price, UT 84501-2804
Phone (435) 299-1566

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

LicenseStateTypeSpecialty
11878334-6009UTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kara Heugly Counseling Counselor CurrentSince Mar 12, 2024 Accepting new patients

Locations

70 W Main St
Price, UT 84501
Phone (435) 637-0171

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1043990021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W MAIN ST",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012804",
            "telephone_number": "435-299-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W MAIN ST",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012804",
            "telephone_number": "435-637-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "STELLA",
        "middle_name": "J",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "11878334-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.