Individual provider Active NPI

Leon Harvey Butler, PHD

  • Counseling Psychologist
  • Roosevelt, UT
National Provider Identifier
1245549773
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5293736-2501 Issued in UT
Practice address
285 W 800 S
Roosevelt, UT 84066-3707
Phone
(435) 725-6300
Fax
(435) 725-6325
NPI assigned
Oct 1, 2010
Last updated
Jul 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5293736-2501 UT Primary

Addresses

Primary practice location

285 W 800 S
Roosevelt, UT 84066-3707

Mailing address

1140 W 500 S Ste 9
Vernal, UT 84078-2912
Phone (435) 789-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110628000324 UT Practitioner - Clinical Psychologist 3173701836 Reassigns benefits to 1 organization
I20170512000965 TX Practitioner - Clinical Psychologist 3173701836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Apr 17, 2023 Accepting new patients
Ihc Health Services Inc Psychologist CurrentSince Apr 17, 2023 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Confederated Tribes of the Goshute Reservation CurrentSince Mar 22, 2017 Accepting new patients
Confederated Tribes of the Goshute Reservation CurrentSince Mar 22, 2017 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

195 Tribal Center Rd
Ibapah, UT 84034
Phone (435) 234-1302

1225 E Fort Union Blvd
Ste 315
Midvale, UT 84047
Phone (801) 233-4100

660 S 200 E
Ste 250
Slc, UT 84111
Phone (801) 356-2256

5770 S 1500 W
Taylorsville, UT 84123
Phone (801) 265-3000

5770 S 1500 W
Bldg C
Taylorsville, UT 84123
Phone (801) 265-3049

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1245549773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W 500 S STE 9",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782912",
            "telephone_number": "435-789-6300",
            "fax_number": "435-789-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W 800 S",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840663707",
            "telephone_number": "435-725-6300",
            "fax_number": "435-725-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LEON",
        "middle_name": "HARVEY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-01",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "UT",
            "license": "5293736-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roosevelt, UT

Sources for this page

Verify at the official NPI Registry.