Individual provider Active NPI

Preston Quinn Calcut, CMHC

  • Mental Health Counselor
  • Syracuse, UT
National Provider Identifier
1104436120
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9611431-6004 Issued in UT
Practice address
1747 Heritage LN Ste B101
Syracuse, UT 84075-8546
Phone
(385) 439-1926
NPI assigned
Aug 4, 2020
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9611431-6004 UT Primary

Addresses

Primary practice location

1747 Heritage LN Ste B101
Syracuse, UT 84075-8546

Mailing address

1747 Heritage LN Ste B101
Syracuse, UT 84075-8546
Phone (385) 439-1926

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address marc@ansonfamilycounseling.com
Direct Messaging Address preston@ansonfamilycounseling.com Direct Anson Family Counseling, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9611431-6004UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1104436120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 HERITAGE LN STE B101",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758546",
            "telephone_number": "385-439-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 HERITAGE LN STE B101",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758546",
            "telephone_number": "385-439-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCUT",
        "first_name": "PRESTON",
        "middle_name": "QUINN",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9611431-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marc@ansonfamilycounseling.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "1747 Heritage Ln Ste B101",
            "city": "Syracuse",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840758546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "preston@ansonfamilycounseling.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Anson Family Counseling, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1747 Heritage Ln Ste B101",
            "city": "Syracuse",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840758546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, UT

Sources for this page

Verify at the official NPI Registry.