Active NPI
Mercy S Stout, CMHC
- Mental Health Counselor
- Glendale, UT
National Provider Identifier
1316138340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 71184256004
- Practice address
- 1150 Lydia's Canyon Rd
Glendale, UT 84729 - Phone
- (435) 592-2296
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 71184256004 | UT | Primary |
Addresses
Primary practice location
1150 Lydia's Canyon Rd
Glendale, UT 84729
Mailing address
PO Box 235
Glendale, UT 84729-0235
Phone (435) 592-2296
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 |
|---|---|---|---|
| 71184256004 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1316138340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235",
"city": "GLENDALE",
"state": "UT",
"postal_code": "847290235",
"telephone_number": "435-592-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 LYDIA'S CANYON RD",
"city": "GLENDALE",
"state": "UT",
"postal_code": "84729",
"telephone_number": "435-592-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "MERCY",
"middle_name": "S",
"credential": "CMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "71184256004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.