Individual provider Active NPI

Ingrid C Nalder

  • Addiction (Substance Use Disorder) Counselor
  • St George, UT
National Provider Identifier
1194440909
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5588643-6018 Issued in UT
Practice address
249 E Tabernacle St Ste 200
St George, UT 84770-2968
Phone
(435) 229-8936
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5588643-6010 UT
Addiction (Substance Use Disorder) Counselor 101YA0400X 5588643-6018 UT Primary

Addresses

Primary practice location

249 E Tabernacle St Ste 200
St George, UT 84770-2968

Mailing address

1178 E 300 S Apt C106
St George, UT 84790-2092
Phone (435) 229-8936

Other identifiers 1

IdentifierTypeStateIssuer
013314696OtherUTDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ingridn@crossoverrecovery.org Direct

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
5588643-6018UTMDAddiction (Substance Use Disorder) Counselor
5588643-6010UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hearts Recovery Mental Health Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1194440909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 E 300 S APT C106",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902092",
            "telephone_number": "435-229-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E TABERNACLE ST STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702968",
            "telephone_number": "435-229-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALDER",
        "first_name": "INGRID",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5588643-6010",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "5588643-6018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "013314696",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ingridn@crossoverrecovery.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "249 E Tabernacle St Ste 200",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847702968",
            "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 Oct 5, 2022; 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.