Active NPI
Kathleen Brooks Tinker, ACMHCE
- Mental Health Counselor
- St George, UT
National Provider Identifier
1477099166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC.0014854
- Practice address
- 301 N 200 E Ste 2C
St George, UT 84770-3040 - Phone
- (719) 822-6638
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11651246-6010 | UT | |
| Mental Health Counselor | 101YM0800X | LPCC.0014854 | CO | Primary |
Addresses
Primary practice location
301 N 200 E Ste 2C
St George, UT 84770-3040
Mailing address
1035 Red Bud Cir
St George, UT 84790-6813
Phone (719) 822-6638
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0014854 | CO | MD | Mental Health Counselor |
| 11651246-6010 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1477099166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 RED BUD CIR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906813",
"telephone_number": "719-822-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N 200 E STE 2C",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703040",
"telephone_number": "719-822-6638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINKER",
"first_name": "KATHLEEN",
"middle_name": "BROOKS",
"credential": "ACMHCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "11651246-6010",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPCC.0014854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.