Active NPI
Kathryn Stamos Grow, LCSW
- Professional Counselor
- Ogden, UT
National Provider Identifier
1164537726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3165563501
- Practice address
- 3544 Lincoln Ave Ste C
Ogden, UT 84401-4034 - Phone
- (801) 721-5550
- Fax
- (801) 393-5025
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3165563501 | UT | Primary |
Addresses
Primary practice location
3544 Lincoln Ave Ste C
Ogden, UT 84401-4034
Mailing address
3544 Lincoln Ave Ste C
Ogden, UT 84401-4034
Phone (801) 721-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592631 | Other | UT | VALUE OPTIONS |
Other names 1
- Kathryn Stamos
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3165563501 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263254400000",
"number": "1164537726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3544 LINCOLN AVE STE C",
"city": "OGDEN",
"state": "UT",
"postal_code": "844014034",
"telephone_number": "801-721-5550",
"fax_number": "801-393-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 LINCOLN AVE STE C",
"city": "OGDEN",
"state": "UT",
"postal_code": "844014034",
"telephone_number": "801-721-5550",
"fax_number": "801-393-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROW",
"first_name": "KATHRYN",
"middle_name": "STAMOS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2010-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "3165563501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "592631",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "STAMOS",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.