Trevor Hansen
Individual provider Active NPI Mental Health Counselor · Moroni, UT
NPI 1184040925 · NPPES record last updated Mar 17, 2014
Key facts
- NPI
- 1184040925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 21260 N. 1450 E.
Moroni, UT 84646 - Phone
- (435) 445-5206
- NPI assigned
- Mar 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
21260 N. 1450 E.
Moroni, UT 84646
Mailing address
21260 N. 1450 E.
Moroni, UT 84646
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Medicaid | UT |
Other providers in Moroni, UT
- Spencer Finlinson
- Fred Folkner
- Agatha Lee Gibbons
- Juan Carlos Grillo
- Michael Raymond Hamm Jr.
- Milton Scott Harmon
- Kathy Harward
- Michael David Hassler
- Bart Douglas Hennagir
- Bryan Holder
All providers in Moroni, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.