Individual provider Active NPI

Haley Charles Urry, CSW

  • Social Worker
  • Bountiful, UT
National Provider Identifier
1275369399
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5801960-3502 Issued in UT
Practice address
585 W 500 S Ste 200
Bountiful, UT 84010-8321
Phone
(801) 990-4300
Fax
(801) 967-2127
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5801960-3502 UT Primary

Addresses

Primary practice location

585 W 500 S Ste 200
Bountiful, UT 84010-8321

Mailing address

PO Box 330
Magna, UT 84044-0330
Phone (801) 990-4300

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
5801960-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Ridge Counseling LLC CurrentSince Sep 15, 2024 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": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1275369399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840440330",
            "telephone_number": "801-990-4300",
            "fax_number": "801-967-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 W 500 S STE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108321",
            "telephone_number": "801-990-4300",
            "fax_number": "801-967-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRY",
        "first_name": "HALEY",
        "middle_name": "CHARLES",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "5801960-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.