Individual provider Active NPI

Stacy Dawn Crane, ACMHC

  • Mental Health Counselor
  • Vernal, UT
National Provider Identifier
1437897626
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4852953-6009 Issued in UT
Practice address
1285 W Highway 40
Vernal, UT 84078-2923
Phone
(435) 790-2757
Fax
(435) 789-4045
NPI assigned
May 26, 2022
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 4852953-6009 UT Primary

Addresses

Primary practice location

1285 W Highway 40
Vernal, UT 84078-2923

Mailing address

PO Box 37
Vernal, UT 84078-0001
Phone (435) 790-2757

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
I20260109003550 UT Practitioner - Mental Health Counselor 2860886736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 37
Vernal, UT 84078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4852953-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Youth & Family Therapy Mental Health CurrentSince Mar 12, 2023 Accepting new patients
Lighthouse Youth & Family Therapy CurrentSince Jan 1, 2022 Accepting new patients

Locations

1285 W Highway 40
Vernal, UT 84078
Phone (435) 790-2588

365 W 50 N
Ste W8
Vernal, UT 84078
Phone (435) 790-2757

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1437897626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840780001",
            "telephone_number": "435-790-2757",
            "fax_number": "435-789-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782923",
            "telephone_number": "435-790-2757",
            "fax_number": "435-789-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "STACY",
        "middle_name": "DAWN",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "4852953-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.