Individual provider Active NPI

Mindy Pearson

  • Counseling Psychologist
  • Pleasant Grove, UT
National Provider Identifier
1598169286
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
10506019-2501 Issued in UT
Practice address
233 S Pleasant Grove Blvd Ste 203
Pleasant Grove, UT 84062-2878
Phone
(801) 785-4622
Fax
(801) 785-4623
NPI assigned
Oct 9, 2014
Last updated
Oct 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 10506019-2501 UT Primary

Addresses

Primary practice location

233 S Pleasant Grove Blvd Ste 203
Pleasant Grove, UT 84062-2878

Mailing address

233 S Pleasant Grove Blvd Ste 203
Pleasant Grove, UT 84062-2878
Phone (801) 785-4622

Other practice location 1

619 N 500 W
Provo, UT 84601-1547
Phone (801) 375-4240

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

LicenseStateTypeSpecialty
10506019-2501UTMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
GN Giles Group LLC CurrentSince Jul 11, 2023 Accepting new patients
Advent Family Psychology, L.L.C. Counseling Current Accepting new patients
Giles, Haderlie & Associates Family Psychology PastSince Oct 6, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1598169286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S PLEASANT GROVE BLVD STE 203",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622878",
            "telephone_number": "801-785-4622",
            "fax_number": "801-785-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S PLEASANT GROVE BLVD STE 203",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622878",
            "telephone_number": "801-785-4622",
            "fax_number": "801-785-4623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 N 500 W",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846011547",
            "country_code": "US",
            "telephone_number": "801-375-4240",
            "fax_number": "801-375-4241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "UT",
            "license": "10506019-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.