Active NPI
Erin Boorman
- Mental Health Counselor
- St George, UT
National Provider Identifier
1053733949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8894810-6009
- Practice address
- 1240 E 100 S Ste 121
St George, UT 84790-3079 - Phone
- (435) 652-1202
- Fax
- (435) 652-1206
- NPI assigned
- Jan 10, 2014
- Sex
- Female
- 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 | 8894810-6009 | UT | Primary |
Addresses
Primary practice location
1240 E 100 S Ste 121
St George, UT 84790-3079
Mailing address
2021 Stone Canyon Dr
Saint George, UT 84790-6113
Phone (435) 628-1095
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 |
|---|---|---|---|
| 8894810-6009 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1053733949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 STONE CANYON DR",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847906113",
"telephone_number": "435-628-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 E 100 S STE 121",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847903079",
"telephone_number": "435-652-1202",
"fax_number": "435-652-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOORMAN",
"first_name": "ERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-10",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "8894810-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.