Active NPI
Ines Katharina Korbanka, LPC
- Mental Health Counselor
- Murray, UT
National Provider Identifier
1295041374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6307962-6004
- Practice address
- 5250 Commerce Dr
Murray, UT 84107-7926 - Phone
- (801) 261-3500
- Fax
- (801) 261-2111
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6307962-6004 | UT | Primary |
Addresses
Primary practice location
5250 Commerce Dr
Murray, UT 84107-7926
Mailing address
5250 Commerce Dr
Murray, UT 84107-7926
Phone (801) 261-3500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6307962-6004 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1295041374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 COMMERCE DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077926",
"telephone_number": "801-261-3500",
"fax_number": "801-261-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 COMMERCE DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077926",
"telephone_number": "801-261-3500",
"fax_number": "801-261-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORBANKA",
"first_name": "INES",
"middle_name": "KATHARINA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "6307962-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.