Taylor Roberts

Individual provider Active NPI Counselor · Fillmore, UT

NPI 1376150367 · NPPES record last updated Sep 24, 2020

Key facts

NPI
1376150367
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
90 N Main St
Fillmore, UT 84631-4506
Phone
(435) 283-4000
Fax
(435) 283-8401
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Central Utah Counseling Center Counselor Past
since Sep 27, 2020
Accepting new patients
Central Utah Counseling Center Past
since Sep 27, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X UT Yes

Addresses

Primary practice location

90 N Main St
Fillmore, UT 84631-4506

Mailing address

152 N 400 W
Ephraim, UT 84627-5549
Phone (435) 283-8400

Other providers in Fillmore, UT

All providers in Fillmore, UT · Counselor in Utah

Sources for this page

Verify at the official NPI Registry.