Laurel D Pate, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

373070-6004 Issued in UT

Practice address

545 W 500 S
Suite 110
Bountiful, UT 84010-8105

Phone

(801) 296-0223

Fax

(801) 296-0240

NPI assigned

Feb 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265404479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 HUNTER VALLEY DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841281164",
            "telephone_number": "801-252-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W 500 S",
            "address_2": "SUITE 110",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108105",
            "telephone_number": "801-296-0223",
            "fax_number": "801-296-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "LAUREL",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "373070-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "373070-6004",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.