Samantha Lin Pranger, CSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10378315-3502 Issued in UT

Practice address

3336 S Pioneer Pkwy Ste 201
West Valley City, UT 84120-2085

Phone

(801) 313-0555

Fax

(801) 313-9669

NPI assigned

Oct 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Lin Pehrson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1467856211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 S PIONEER PKWY STE 201",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202085",
            "telephone_number": "801-313-0555",
            "fax_number": "801-313-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 S PIONEER PKWY STE 201",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202085",
            "telephone_number": "801-313-0555",
            "fax_number": "801-313-9669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 N 200 W",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846011677",
            "country_code": "US",
            "telephone_number": "801-373-4760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4460 S Highland Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841243550",
            "country_code": "US",
            "telephone_number": "888-949-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRANGER",
        "first_name": "SAMANTHA",
        "middle_name": "LIN",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10378315-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "PEHRSON",
            "middle_name": "LIN",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Plasman, PA C
• Jeannette Pontiero Meandzija, O.D.
• Molly Poore
• Greg F Powell, PA-C
• Leland V. Powell, D.D.S.
• Stephen Hamilton Prasad, PH.D.
• Premise Health of Utah Medical PC (Granite Wellness Center)
• Premise Health of Utah Medical PC (3 Form - West Valley City)
• Steven Reed Prentice, LCSW
• Christine Prestgard

• Mental Health Counselor in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.