Individual provider Active NPI

Cristine Price, LPC, LSAC, NCSP

  • Professional Counselor
  • Logan, UT
National Provider Identifier
1346484185
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
270389-6004 Issued in UT
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

Updated by the provider on Apr 23, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
270389-6006UTMDAddiction (Substance Use Disorder) Counselor
270389-6004UTMDProfessional Counselor
35585UTMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.