Individual provider Active NPI

Eric Allen Pribyl

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1174135347
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12872784-3501 Issued in UT
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, 2024By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12872784-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Aug 1, 2020 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.

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.

Verify at the official NPI Registry.