Active NPI
Eric Allen Pribyl
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1174135347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12872784-3501
- Practice address
- 231 E 400 S Ste 370
Salt Lake City, UT 84111-2832 - Phone
- (307) 389-1041
- NPI assigned
- Aug 19, 2020
- Last updated
- Oct 21, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12872784-3501 | UT | |
| Mental Health Counselor | 101YM0800X | UT | ||
| Clinical Social Worker | 1041C0700X | 12872784-3501 | UT | Primary |
Addresses
Primary practice location
231 E 400 S Ste 370
Salt Lake City, UT 84111-2832
Mailing address
231 E 400 S Ste 370
Salt Lake City, UT 84111-2832
Phone (307) 389-1041
Other practice location 1
124 S 400 E Ste 450
Salt Lake City, UT 84111-5306
Phone (801) 467-2863
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 |
|---|---|---|---|
| 12872784-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace and Equality Therapy PC | Clinical | Current | Accepting new patients |
| Peace and Equality Therapy PC | Clinical | Current | Accepting new patients |
| Amethyst Center for Healing | Mental Health | Past | Accepting new patients |
| Multicultural Counseling Center, LLC | Clinical | Past | Accepting new patients |
Locations
231 E 400 S
Ste 370
Salt Lake City, UT 84111
Phone (307) 389-1041
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1205658812
-
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1902628373
-
- Community/Behavioral Health Agency
- Salt Lake City, UT
- NPI 1356169536
-
- Mental Health Counselor
- Salt Lake City, UT
- NPI 1194198010
-
- Clinical Social Worker
- Sandy, UT
- NPI 1215322912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1174135347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 E 400 S STE 370",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841112832",
"telephone_number": "307-389-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E 400 S STE 370",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841112832",
"telephone_number": "307-389-1041"
}
],
"practiceLocations": [
{
"address_1": "124 S 400 E Ste 450",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841115306",
"country_code": "US",
"telephone_number": "801-467-2863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRIBYL",
"first_name": "ERIC",
"middle_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2020-08-19",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "12872784-3501",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12872784-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.