Individual provider Active NPI

Saskia Ann Stallings

  • Mental Health Counselor
  • St George, UT
National Provider Identifier
1467925883
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
336203-3502 Issued in UT
Practice address
321 N Mall Dr
St George, UT 84790-7302
Phone
(435) 632-5767
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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 336203-3502 UT Primary

Addresses

Primary practice location

321 N Mall Dr
St George, UT 84790-7302

Mailing address

3320 S Bloomfield Dr
Washington, UT 84780-2926
Phone (435) 632-5767

Other practice location 1

162 N 400 E Ste A105
Saint George, UT 84770-7192
Phone (435) 275-8911

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
I20191016003022 UT Practitioner - Clinical Social Worker 4880925296 Receives reassigned benefits from 4 practitioners
Practice locations: St George, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 N Mall Dr
VW 105
St George, UT 84790-7302
Phone (435) 359-2433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
336203-3502UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightened Counseling Services LLC CurrentSince Jul 2, 2019 Accepting new patients
Summit Behavior Services Past Accepting new patients

Locations

321 N Mall Dr
Ste VW105
St George, UT 84790
Phone (435) 359-2404

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1467925883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 S BLOOMFIELD DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802926",
            "telephone_number": "435-632-5767",
            "fax_number": "435-359-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MALL DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907302",
            "telephone_number": "435-632-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 N 400 E Ste A105",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847707192",
            "country_code": "US",
            "telephone_number": "435-275-8911",
            "fax_number": "435-200-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "SASKIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "336203-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.