Active NPI
Catherine Ann Leatham, BACHELOR OF SCIENCE
- Mental Health Counselor
- Ephraim, UT
National Provider Identifier
1497265383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 66 N 180 W
Ephraim, UT 84627-2130 - Phone
- (435) 283-0164
- Fax
- (435) 283-2213
- NPI assigned
- Oct 5, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
66 N 180 W
Ephraim, UT 84627-2130
Mailing address
66 N 180 W
Ephraim, UT 84627-2130
Phone (435) 283-0164
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467745941 | Medicaid | UT | |
| 1801104054 | Medicaid | UT |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Women'S Empowerment Center Long Term 3 | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Ephraim, UT
- NPI 1245548742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507939200000",
"number": "1497265383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 N 180 W",
"city": "EPHRAIM",
"state": "UT",
"postal_code": "846272130",
"telephone_number": "435-283-0164",
"fax_number": "435-283-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 N 180 W",
"city": "EPHRAIM",
"state": "UT",
"postal_code": "846272130",
"telephone_number": "435-283-0164",
"fax_number": "435-283-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHAM",
"first_name": "CATHERINE",
"middle_name": "ANN",
"credential": "BACHELOR OF SCIENCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2017-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467745941",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801104054",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ephraim, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.