NPIMap

Organization Active NPI

Regina Tippets PLLC

  • Community/Behavioral Health Agency
  • Grantsville, UT
National Provider Identifier
1093129264
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
289022-6004 Issued in UT
Legal business name
REGINA TIPPETS PLLC
Doing business as
Willow Counseling
Practice address
505 Nygreen St
Grantsville, UT 84029-9421
Phone
(801) 450-8813
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Jeff Tippets
Title
Office Manager
Phone
(801) 450-8813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 289022-6004 UT Primary

Addresses

Primary practice location

505 Nygreen St
Grantsville, UT 84029-9421

Mailing address

505 Nygreen St
Grantsville, UT 84029-9421
Phone (801) 450-8813

Other names 1

  • Willow Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RCT Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1093129264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NYGREEN ST",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299421",
            "telephone_number": "801-450-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NYGREEN ST",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299421",
            "telephone_number": "801-450-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA TIPPETS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "TIPPETS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-450-8813"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "289022-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grantsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.