Individual provider Active NPI

Joan R. Landes, CMHC

  • Mental Health Counselor
  • Payson, UT
National Provider Identifier
1265703615
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8542770-6009 Issued in UT
Practice address
6148 W 8400 S
Payson, UT 84651-9736
Phone
(435) 709-5788
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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 8542770-6009 UT Primary
Counselor 101Y00000X 8542770-6009 UT

Addresses

Primary practice location

6148 W 8400 S
Payson, UT 84651-9736

Mailing address

6148 W 8400 S
Payson, UT 84651-9736
Phone (435) 709-5788

Other names 1

  • Mrs. Joan R. Landes Professional name

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
8542770-6009UTMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1265703615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 W 8400 S",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846519736",
            "telephone_number": "435-709-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6148 W 8400 S",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846519736",
            "telephone_number": "435-709-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDES",
        "first_name": "JOAN",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8542770-6009",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "8542770-6009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "LANDES",
            "middle_name": "R.",
            "prefix": "MRS.",
            "credential": "M.A., CMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.