Individual provider Active NPI

Perriann Parks Beyers, LCSW/MFT

  • Clinical Social Worker
  • Sandy, UT
National Provider Identifier
1629005665
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
136231-3501 Issued in UT
Practice address
9192 S0. 300 W.
Suite 19
Sandy, UT 84070
Phone
(801) 558-7054
Fax
(801) 523-8824
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 136231-3501 UT Primary

Addresses

Primary practice location

9192 S0. 300 W.
Suite 19
Sandy, UT 84070

Mailing address

456 Brewster Dr
Draper, UT 84020-5151
Phone (801) 558-7054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000336 UT Practitioner - Clinical Social Worker 7810987302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9192 S 300
Suite 19
Sandy, UT 84070-2673
Phone (801) 558-7054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Centers of Utah PLLC CurrentSince May 1, 2020 Accepting new patients
LDS Family Services Past Accepting new patients
LDS Family Services Past Accepting new patients

Locations

9192 S 300 W
Ste 19
Sandy, UT 84070
Phone (801) 558-7054

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629005665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 BREWSTER DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205151",
            "telephone_number": "801-558-7054",
            "fax_number": "801-523-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9192 S0. 300 W.",
            "address_2": "SUITE 19",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84070",
            "telephone_number": "801-558-7054",
            "fax_number": "801-523-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYERS",
        "first_name": "PERRIANN",
        "middle_name": "PARKS",
        "name_prefix": "Ms.",
        "credential": "LCSW/MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "136231-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.