Active NPI
Preston Quinn Calcut, CMHC
- Mental Health Counselor
- Syracuse, UT
National Provider Identifier
1104436120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9611431-6004
- Practice address
- 1747 Heritage LN Ste B101
Syracuse, UT 84075-8546 - Phone
- (385) 439-1926
- NPI assigned
- Aug 4, 2020
- Last updated
- May 19, 2023
- 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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9611431-6004 | UT | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.