Shandra Amber Powell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10067098-3501 Issued in UT

Practice address

4465 W 500 N
Cedar City, UT 84721-8065

Phone

(435) 590-2299

NPI assigned

Aug 14, 2022

Last updated

Aug 14, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mending Mind Therapy Inc

  • Mental Health Counselor
  • Cedar City, UT
  • NPI 1659097848
  NPD (past)

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

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1548998875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 W 500 N",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218065",
            "telephone_number": "435-590-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 W 500 N",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218065",
            "telephone_number": "435-590-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SHANDRA",
        "middle_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10067098-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keara Pope
• Possibilities Counseling LLC
• Jacob Daniel Potter, DC
• Steven M Poulos, D.C.
• Trenton Poulson, DPT
• Lynette R Pratt
• Praxair Healthcare Services, Inc.
• Premier Pediatrics LLC
• Cade Pryor
• Psychiatric & Mental Health Services PPLC

• Clinical Social Worker in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.