Active NPI
Rachael Elizabeth Collinsworth, L.M.F.T.
- Marriage & Family Therapist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 5913578-3902
- Practice address
- 4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550 - Phone
- (888) 949-4864
- NPI assigned
- Dec 10, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 5913578-3902 | UT | Primary |
Addresses
Primary practice location
4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Mailing address
4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Phone (888) 949-4864
Other practice location 1
811 N Harrisville Rd
Ogden, UT 84404-3537
Phone (801) 399-1818
Other names 1
- Rachael McKay
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- National University of Arts and Sciences, Medical Department, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
811 N Harrisville Rd
Harrisville, UT 84404-3537
Phone (801) 399-1818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5913578-3902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha Behavioral Consultants, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
| Aloha Medical Services, LLC | Current | Accepting new patients |
Locations
811 N Harrisville Rd
Ogden, UT 84404
Phone (801) 399-1818
707 24th St
Ste D
Ogden, UT 84401
Phone (801) 399-1818
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.
-
- Clinical Social Worker
- Harrisville, UT
- NPI 1952432635
Marriage & Family Therapist
-
- Multi-Specialty Clinic/Center
- Harrisville, UT
- NPI 1255956967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1386889905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4460 S HIGHLAND DR STE 210",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841243550",
"telephone_number": "888-949-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 S HIGHLAND DR STE 210",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841243550",
"telephone_number": "888-949-4864"
}
],
"practiceLocations": [
{
"address_1": "811 N Harrisville Rd",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844043537",
"country_code": "US",
"telephone_number": "801-399-1818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINSWORTH",
"first_name": "RACHAEL",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "L.M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "5913578-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHAEL",
"last_name": "MCKAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.