Individual provider Active NPI

Natalee T. Fristrup, CMHC

  • Mental Health Counselor
  • Layton, UT
National Provider Identifier
1114373149
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
103940846004 Issued in UT
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

Updated by the provider on Aug 4, 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 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

LicenseStateTypeSpecialty
103940846004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Center for Growth LLC CurrentSince Nov 1, 2019 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.

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.

Verify at the official NPI Registry.