Dixie State University Health & Counseling Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

DIXIE STATE UNIVERSITY HEALTH & COUNSELING CENTER

Practice address

1037 E 100 S
St George, UT 84770-3006

Phone

(435) 652-7756

NPI assigned

Aug 3, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

DIXIE STATE UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Dylan Matsumori, PH.D.

Title

Director

Phone

(435) 652-7756

Specialties & licenses 8

Addresses

Part of

Dixie State College

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dixie State University

  dba DSU Sports Medicine

  • Family Medicine Physician
  • St George, UT
  • NPI 1316323165
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Staci Steed, FNP-BC

  • Family Nurse Practitioner
  • St George, UT
  • NPI 1750789954
  NPD (past)

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639693344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 E 100 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703006",
            "telephone_number": "435-652-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 E 100 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703006",
            "telephone_number": "435-652-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE STATE UNIVERSITY HEALTH & COUNSELING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIXIE STATE UNIVERSITY",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATSUMORI",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "435-652-7756",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "7343133-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "50390644405",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "UT",
            "license": "50390644405",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "1244136008",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "91334252501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1351453501",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "3288013102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixie Pediatric Dental
• Dixie Regional Medical Center
• Dixie State College
• Dixie State College
• Dixie State University (DSU Sports Medicine)
• Dixie Surgery Center, Inc
• Dixie Workshops Inc Dba Dixie Advantages Development
• Juliana Dixon
• Bienvenue Owango Djamba
• DMBC LLC (Home Helpers Home Care)

• Student Health Clinic/Center in St George, UT
• Providers in St George, UT by specialty
• Student Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.