Organization Active NPI

Premier Psychological Counseling and Consulting PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St George, UT
National Provider Identifier
1235460312
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PREMIER PSYCHOLOGICAL COUNSELING AND CONSULTING PC
Doing business as
Premier PCC, PC
Premier TMS
Practice address
1490 E Foremaster Dr Ste 340
St George, UT 84790-4506
Phone
(435) 216-9290
Fax
(435) 865-9115
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Dr. Willaim Sidney Young, PH.D.
Title
President
Phone
(435) 216-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1490 E Foremaster Dr Ste 340
St George, UT 84790-4506

Mailing address

1490 E Foremaster Dr Ste 340
St George, UT 84790-4506
Phone (435) 216-9290

Other names 2

  • Premier PCC, PC Doing business as
  • Premier TMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190430002487 UT Part B Supplier - Clinic/Group Practice 8022350677 Receives reassigned benefits from 2 practitioners
Practice locations: St George, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1235460312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 340",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904506",
            "telephone_number": "435-216-9290",
            "fax_number": "435-865-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 340",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904506",
            "telephone_number": "435-216-9290",
            "fax_number": "435-865-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PSYCHOLOGICAL COUNSELING AND CONSULTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-216-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier PCC, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier TMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.