Active NPI
Vaughn Heath
- Mental Health Counselor
- St George, UT
National Provider Identifier
1104229681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 339436-3902
- Practice address
- 139 N 100 W
St George, UT 84770-2803 - Phone
- (801) 627-1788
- NPI assigned
- Sep 29, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 339436-3902 | UT | Primary |
Addresses
Primary practice location
139 N 100 W
St George, UT 84770-2803
Mailing address
139 N 100 W
St George, UT 84770-2803
Phone (801) 627-1788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339436-3902 | Other | UT | STATE OF UTAH |
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 |
|---|---|---|---|
| 339436-3902 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Arise Society | Current | Accepting new patients | |
| At the Crossroads | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- St. George, UT
- NPI 1174924310
-
- Community/Behavioral Health Agency
- Spanish Fork, UT
- NPI 1609489939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1104229681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 N 100 W",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702803",
"telephone_number": "801-627-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 N 100 W",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702803",
"telephone_number": "801-627-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "VAUGHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-29",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "339436-3902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF UTAH",
"identifier": "339436-3902",
"state": "UT"
}
],
"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 Sep 29, 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.