Susan R Nate, LPC, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

781141-6004 Issued in UT

Practice address

263 Country CLB Ste 101
Stansbury Park, UT 84074-9602

Phone

(435) 841-4060

NPI assigned

Apr 7, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1639342066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 COUNTRY CLB STE 101",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749602",
            "telephone_number": "307-382-6606",
            "fax_number": "307-382-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 COUNTRY CLB STE 101",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749602",
            "telephone_number": "435-841-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATE",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "LPC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "486",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "781141-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NAT304951",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Farrell McConnell IV, DMD
• James Farrell McConnell III, DMD
• Ashley Marie Metzger, CSW
• June Akane Mitchell, LCSW
• Anthony David Mowrey, APRN, NP, DNP, FNP
• David Nau
• Ariel N Nelson, DVM
• Kayla A Oaks, M.ED., CCC-SLP
• Robert Pagnani
• William McMichael Payne II, PHARM.D.

• Mental Health Counselor in Stansbury Park, UT
• Providers in Stansbury Park, 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 Mar 31, 2021; 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.