Individual provider Active NPI

Galia F Serrato Gosain, LCSW

  • Counselor
  • Harrisville, UT
National Provider Identifier
1619583580
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
12896589-3501 Issued in UT
Practice address
2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824
Phone
(801) 393-6232
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Counselor 101Y00000X 12896589-3501 UT Primary

Addresses

Primary practice location

2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824

Mailing address

2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12896589-3501UTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Utah Community Health Center CurrentSince Sep 12, 2023 Accepting new patients
Southwest Utah Community Health Center CurrentSince Sep 12, 2023 Accepting new patients
Quality Youth Services PastSince Sep 20, 2020 Accepting new patients

Locations

168 N 100 E
Ste 101
St George, UT 84770
Phone (435) 986-2565

2276 E Riverside Dr
St George, UT 84790
Phone (435) 986-2565

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1619583580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 N HWY 89 STE C",
            "city": "HARRISVILLE",
            "state": "UT",
            "postal_code": "844042824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 N HWY 89 STE C",
            "city": "HARRISVILLE",
            "state": "UT",
            "postal_code": "844042824",
            "telephone_number": "801-393-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRATO GOSAIN",
        "first_name": "GALIA",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "12896589-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisville, UT

Sources for this page

Verify at the official NPI Registry.