Mary Christena Attridge, CMHC, ATR-BC, ATCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9022525-6004 Issued in UT

Practice address

6770 S 900 E Ste 105
Midvale, UT 84047-1710

Phone

(801) 305-3171

Fax

(801) 904-3632

NPI assigned

Apr 8, 2011

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 1, 2024 through Jun 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Healing Group, PC

  • Community/Behavioral Health Agency
  • Holladay, UT
  • NPI 1205112885
  NPD (past)

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1295025575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 S 900 E STE 105",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471710",
            "telephone_number": "801-305-3171",
            "fax_number": "801-904-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 S 900 E STE 105",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471710",
            "telephone_number": "801-305-3171",
            "fax_number": "801-904-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTRIDGE",
        "first_name": "MARY",
        "middle_name": "CHRISTENA",
        "credential": "CMHC, ATR-BC, ATCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "9022525-6004",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "06-009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMHC LICENSE",
            "identifier": "9022525-6004",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATR-BC, ATCS",
            "identifier": "06-009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Brooke Arko
• Manuel Alejandro Armenta, PHARMD
• Amie Jo Aslami, M.D.
• Robin Asmar
• Sabrina Lyn Atkinson, PHARMD
• Isabella Reese Augustine, DMD
• Natalie J Avery, CSW
• Erin Aycox
• Emmanuel Azike II, BCBA
• Alexandrea Babcock

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.