Active NPI
Griffin Brandt Slade, LSUDC
- Addiction (Substance Use Disorder) Counselor
- St George, UT
National Provider Identifier
1073341624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 12433636-6006
- Practice address
- 1085 S Bluff St
St George, UT 84770-5245 - Phone
- (435) 674-9999
- NPI assigned
- Jul 24, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12433636-6006 | UT | Primary |
Addresses
Primary practice location
1085 S Bluff St
St George, UT 84770-5245
Mailing address
1054 Wesley Powell Dr # 1
Saint George, UT 84790-7843
Phone (435) 236-9522
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 |
|---|---|---|---|
| 12433636-6006 | UT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1073341624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 WESLEY POWELL DR # 1",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847907843",
"telephone_number": "435-236-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 S BLUFF ST",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847705245",
"telephone_number": "435-674-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLADE",
"first_name": "GRIFFIN",
"middle_name": "BRANDT",
"credential": "LSUDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "12433636-6006",
"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 Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.