Active NPI
Natalee T. Fristrup, CMHC
- Mental Health Counselor
- Layton, UT
National Provider Identifier
1114373149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 103940846004
- Practice address
- 124 S Fairfield Rd # A112
Layton, UT 84041-7105 - Phone
- (385) 865-9984
- Fax
- (888) 786-5881
- NPI assigned
- May 9, 2016
- 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 | 103940846004 | UT | Primary |
Addresses
Primary practice location
124 S Fairfield Rd # A112
Layton, UT 84041-7105
Mailing address
2539 Oak LN
Layton, UT 84040-7959
Phone (385) 865-9984
Other practice location 1
415 Medical Dr Ste D101
Bountiful, UT 84010-8905
Phone (801) 683-1062
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 |
|---|---|---|---|
| 103940846004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurobehavioral Center for Growth LLC | Current | Accepting new patients | |
| Volunteers of America | Past | Accepting new patients |
Locations
415 Medical Dr
Ste D101
Bountiful, UT 84010
Phone (201) 683-1062
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.
-
- Psychologist
- Bountiful, UT
- NPI 1942641931
-
- Community/Behavioral Health Agency
- Salt Lake City, UT
- NPI 1598192338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1114373149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2539 OAK LN",
"city": "LAYTON",
"state": "UT",
"postal_code": "840407959",
"telephone_number": "385-865-9984",
"fax_number": "888-786-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S FAIRFIELD RD # A112",
"city": "LAYTON",
"state": "UT",
"postal_code": "840417105",
"telephone_number": "385-865-9984",
"fax_number": "888-786-5881"
}
],
"practiceLocations": [
{
"address_1": "415 Medical Dr Ste D101",
"address_purpose": "LOCATION",
"city": "Bountiful",
"state": "UT",
"postal_code": "840108905",
"country_code": "US",
"telephone_number": "801-683-1062",
"fax_number": "801-295-5537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRISTRUP",
"first_name": "NATALEE",
"middle_name": "T.",
"credential": "CMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2023-08-04",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "103940846004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.