Individual provider Active NPI

Kiare Watson

  • Behavior Technician
  • St George, UT
National Provider Identifier
1184113573
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
249 E Tabernacle St Ste 100
St George, UT 84770-2951
Phone
(435) 705-7574
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

249 E Tabernacle St Ste 100
St George, UT 84770-2951

Mailing address

249 E Tabernacle St Ste 100
St George, UT 84770-2951
Phone (435) 705-7574

Other practice location 1

3121 Kingbird Dr
N Las Vegas, NV 89084-2308
Phone (702) 205-7193

Other practice location 2

2110 E Flamingo Rd # 150
Las Vegas, NV 89119
Phone (702) 270-3219

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://crimsoncounseling.net

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1184113573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 E TABERNACLE ST STE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702951",
            "telephone_number": "435-705-7574",
            "fax_number": "866-833-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E TABERNACLE ST STE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702951",
            "telephone_number": "435-705-7574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3121 Kingbird Dr",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890842308",
            "country_code": "US",
            "telephone_number": "702-205-7193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 E Flamingo Rd # 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89119",
            "country_code": "US",
            "telephone_number": "702-270-3219",
            "fax_number": "866-833-2056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KIARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://crimsoncounseling.net",
            "affiliation": "N",
            "address_1": "249 E Tabernacle St Ste 100",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847702951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.