Active NPI
Abram Clint Dalley, LPC
- Professional Counselor
- St George, UT
National Provider Identifier
1639454812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 294292-6004
- Practice address
- 1664 S Dixie Dr Ste E102
St George, UT 84770-7329 - Phone
- (435) 703-9647
- Fax
- (435) 703-6003
- NPI assigned
- Oct 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 294292-6004 | ||
| Professional Counselor | 101YP2500X | 294292-6004 | Primary |
Addresses
Primary practice location
1664 S Dixie Dr Ste E102
St George, UT 84770-7329
Mailing address
1664 S Dixie Dr Ste E102
St George, UT 84770-7329
Phone (435) 703-9647
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1639454812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 S DIXIE DR STE E102",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847707329",
"telephone_number": "435-703-9647",
"fax_number": "435-703-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 S DIXIE DR STE E102",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847707329",
"telephone_number": "435-703-9647",
"fax_number": "435-703-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLEY",
"first_name": "ABRAM",
"middle_name": "CLINT",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-19",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "294292-6004",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "294292-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.