Active NPI
Cristine Price, LPC, LSAC, NCSP
- Professional Counselor
- Logan, UT
National Provider Identifier
1346484185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 270389-6004
- Practice address
- 965 S 100 W Ste 203
Logan, UT 84321-6071 - Phone
- (435) 752-1976
- Fax
- (435) 755-6707
- NPI assigned
- Apr 23, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 270389-6006 | UT | |
| Professional Counselor | 101YP2500X | 270389-6004 | UT | Primary |
| School Psychologist | 103TS0200X | 35585 | UT |
Addresses
Primary practice location
965 S 100 W Ste 203
Logan, UT 84321-6071
Mailing address
1215 S Center St
Wellsville, UT 84339-9508
Phone (435) 245-6967
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 |
|---|---|---|---|
| 270389-6006 | UT | MD | Addiction (Substance Use Disorder) Counselor |
| 270389-6004 | UT | MD | Professional Counselor |
| 35585 | UT | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health, Healing and Wholeness, LLC | Current | 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.
-
- Mental Health Counselor
- Logan, UT
- NPI 1053883512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240444800000",
"number": "1346484185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 S CENTER ST",
"city": "WELLSVILLE",
"state": "UT",
"postal_code": "843399508",
"telephone_number": "435-245-6967",
"fax_number": "435-755-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 S 100 W STE 203",
"city": "LOGAN",
"state": "UT",
"postal_code": "843216071",
"telephone_number": "435-752-1976",
"fax_number": "435-755-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "CRISTINE",
"credential": "LPC, LSAC, NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-23",
"last_updated": "2009-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "270389-6006",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "270389-6004",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "UT",
"license": "35585",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.