Individual provider Active NPI

Jane Maxine Fink, CSWI

  • Mental Health Counselor
  • St George, UT
National Provider Identifier
1316667165
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12815132-3506 Issued in UT
Practice address
230 N 1680 E Ste W2
St George, UT 84790-2609
Phone
(435) 301-3129
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12815132-3506 UT Primary

Addresses

Primary practice location

230 N 1680 E Ste W2
St George, UT 84790-2609

Mailing address

230 N 1680 E Ste W2
St George, UT 84790-2609
Phone (435) 301-3129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626003665 UT Practitioner - Clinical Social Worker 7517430853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gold CounselingGroup PAC ID 3476935909, 4 clinicians

Practice addresses (Care Compare)

498 N Kays Dr
Suite 210
Kaysville, UT 84037-4153
Phone (801) 738-4653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12815132-3506UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connie Hanson Counseling, LLC Mental Health CurrentSince Sep 4, 2022 Accepting new patients

Locations

230 N 1680 E
Ste W2
St George, UT 84790
Phone (435) 301-3129

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1316667165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE W2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902609",
            "telephone_number": "435-301-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE W2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902609",
            "telephone_number": "435-301-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "JANE",
        "middle_name": "MAXINE",
        "credential": "CSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12815132-3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.