Christyn Gerber, ACMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11336680-6009 Issued in UT

Practice address

520 N Aspen Rd
Loa, UT 84747

Phone

(866) 436-4458

NPI assigned

Sep 11, 2018

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Juniper Canyon Recovery Center for Women, LLC

  • Substance Abuse Rehabilitation Facility
  • Loa, UT
  • NPI 1114584356
  NPD (past)
• Volunteers of America

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1598192338
  NPD (past)

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1629551007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N ASPEN RD",
            "city": "LOA",
            "state": "UT",
            "postal_code": "84747",
            "telephone_number": "866-436-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N ASPEN RD",
            "city": "LOA",
            "state": "UT",
            "postal_code": "84747",
            "telephone_number": "866-436-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "CHRISTYN",
        "credential": "ACMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11336680-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Chappell, R.N.
• Raylynne J Cooper, CNA
• County of Wayne
• Derek J Daley
• Equine Journeys, LLC
• Ashlie Marie Harris, MS, LMFT
• Juniper Canyon Recovery Center for Women, LLC
• Stephen Kern, LSCSW
• Legacy Outdoor Adventures LLC
• Legacy Treatment Center LLC

• Mental Health Counselor in Loa, UT
• Providers in Loa, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.