Individual provider Active NPI

Cyndi Tangren, LCSW

  • Mental Health Counselor
  • Brigham City, UT
National Provider Identifier
1376790345
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
371307-3502 Issued in UT
Practice address
120 N Main St
Brigham City, UT 84302-2118
Phone
(435) 723-2881
Fax
(435) 734-2719
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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 371307-3502 UT Primary

Addresses

Primary practice location

120 N Main St
Brigham City, UT 84302-2118

Mailing address

120 N Main St
Suite 301
Brigham City, UT 84302-2118
Phone (801) 940-0470

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
I20120911000743 UT Practitioner - Clinical Social Worker 7517115827 Practice locations: Brigham City, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 N Main St
Brigham City, UT 84302-2118
Phone (435) 723-2881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
371307-3502UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
John W Arrington P C PastSince Sep 23, 2024 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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1376790345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST",
            "address_2": "SUITE 301",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022118",
            "telephone_number": "801-940-0470",
            "fax_number": "435-734-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022118",
            "telephone_number": "435-723-2881",
            "fax_number": "435-734-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGREN",
        "first_name": "CYNDI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "371307-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.