Active NPI
Gayla Schmidt Perkins, ACMHC
- Mental Health Counselor
- Vernal, UT
National Provider Identifier
1104475359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4987452-6009
- Practice address
- 185 N Vernal Ave Ste 1
Vernal, UT 84078-2100 - Phone
- (435) 789-1305
- Fax
- (307) 782-3122
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 4987452-6009 | UT | Primary |
Addresses
Primary practice location
185 N Vernal Ave Ste 1
Vernal, UT 84078-2100
Mailing address
185 N Vernal Ave Ste 1
Vernal, UT 84078-2100
Phone (435) 789-1305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4987452-6009 | Other | UT | DOPL |
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 |
|---|---|---|---|
| 4987452-6009 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1104475359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 N VERNAL AVE STE 1",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782100",
"telephone_number": "435-789-1305",
"fax_number": "307-782-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 N VERNAL AVE STE 1",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782100",
"telephone_number": "435-789-1305",
"fax_number": "307-782-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "GAYLA",
"middle_name": "SCHMIDT",
"credential": "ACMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "4987452-6009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOPL",
"identifier": "4987452-6009",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.