Organization Active NPI

Peregrine Mental Health

  • Clinical Social Worker
  • Pleasant Grove, UT
National Provider Identifier
1184533978
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEREGRINE MENTAL HEALTH
Practice address
526 W Center St Ste N102
Pleasant Grove, UT 84062-3360
Phone
(801) 769-6219
NPI assigned
Sep 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Authorized official

Name
Charelle Hagen, LCSW
Title
Clinical Therapist
Phone
(801) 769-6219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

526 W Center St Ste N102
Pleasant Grove, UT 84062-3360

Mailing address

10375 N Bristlecone Way
Cedar Hills, UT 84062-8540
Phone (801) 769-6219

NPI Registry JSON

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

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788566400000",
    "number": "1184533978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10375 N BRISTLECONE WAY",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628540",
            "telephone_number": "801-769-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W CENTER ST STE N102",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623360",
            "telephone_number": "801-769-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREGRINE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "CHARELLE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "801-769-6219",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.