Active NPI
Michael K. Hinds, LMFT
- Specialist
- Logan, UT
National Provider Identifier
1376538033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 48456193902
- Practice address
- 95 W 100 S
Suite 130
Logan, UT 84321-5810 - Phone
- (435) 752-4646
- Fax
- (435) 755-0579
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 48456193902 | UT | Primary |
Addresses
Primary practice location
95 W 100 S
Suite 130
Logan, UT 84321-5810
Mailing address
95 W 100 S
Suite 130
Logan, UT 84321-5810
Phone (435) 752-4646
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 |
|---|---|---|---|
| 48456193902 | UT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Counseling Services, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Logan, UT
- NPI 1124181136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376538033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 W 100 S",
"address_2": "SUITE 130",
"city": "LOGAN",
"state": "UT",
"postal_code": "843215810",
"telephone_number": "435-752-4646",
"fax_number": "435-755-0579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 W 100 S",
"address_2": "SUITE 130",
"city": "LOGAN",
"state": "UT",
"postal_code": "843215810",
"telephone_number": "435-752-4646",
"fax_number": "435-755-0579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINDS",
"first_name": "MICHAEL",
"middle_name": "K.",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "48456193902",
"primary": true
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.