Individual provider Active NPI

Kristin Aragon Springer

  • Counselor
  • Brigham City, UT
National Provider Identifier
1386725174
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
48906033501 Issued in UT
Practice address
663 W 950 S
Brigham City, UT 84302-3021
Phone
(435) 734-9449
Fax
(435) 723-4851
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 48906033501 UT Primary

Addresses

Primary practice location

663 W 950 S
Brigham City, UT 84302-3021

Mailing address

2059 N 850 E
North Ogden, UT 84414-2931
Phone (435) 720-3208

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
I20070118000598 UT Practitioner - Clinical Social Worker 3577564442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bear River Mental Health Services IncGroup PAC ID 0840102356, 31 clinicians

Practice addresses (Care Compare)

663 W 950
Brigham City, UT 84302-3021
Phone (435) 734-9449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48906033501UTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bear River Mental Health Services Inc CurrentSince Sep 12, 2006 Accepting new patients

Locations

663 W Hospital Rd
Brigham City, UT 84302
Phone (435) 734-9449

90 E 200 N
Logan, UT 84321
Phone (435) 752-0750

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1386725174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 N 850 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142931",
            "telephone_number": "435-720-3208",
            "fax_number": "435-723-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 W 950 S",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023021",
            "telephone_number": "435-734-9449",
            "fax_number": "435-723-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "KRISTIN",
        "middle_name": "ARAGON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "48906033501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.