Active NPI
Peregrine Mental Health
- Clinical Social Worker
- Pleasant Grove, UT
National Provider Identifier
1184533978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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.