Individual provider Active NPI

Sandra Kay Munn, L.C.S.W.

  • Mental Health Counselor
  • Cedar City, UT
National Provider Identifier
1417132655
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5430637-3501 Issued in UT
Practice address
66 W Harding Ave Ste C4
Cedar City, UT 84720-3091
Phone
(435) 531-3139
Fax
(435) 586-4268
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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 5430637-3501 UT Primary

Addresses

Primary practice location

66 W Harding Ave Ste C4
Cedar City, UT 84720-3091

Mailing address

66 W Harding Ave Ste C4
Cedar City, UT 84720-3091
Phone (435) 531-3139

Other names 1

  • Ms. Sandra Kay Miller Former name

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)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1417132655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W HARDING AVE STE C4",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203091",
            "telephone_number": "435-531-3139",
            "fax_number": "435-586-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W HARDING AVE STE C4",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203091",
            "telephone_number": "435-531-3139",
            "fax_number": "435-586-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNN",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5430637-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MILLER",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.