Active NPI
Michael Raymond Hamm Jr.
- Counselor
- Moroni, UT
National Provider Identifier
1669985669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 21360 North 1450 East
Moroni, UT 84646461 - Phone
- (435) 445-5200
- Fax
- (435) 445-5201
- NPI assigned
- Nov 13, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
21360 North 1450 East
Moroni, UT 84646461
Mailing address
PO Box 461
Moroni, UT 84646-0461
Phone (435) 445-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235458555 | Medicaid | UT |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Ranch Corporation | Past | Accepting new patients | |
| Blue Hills Residential Treatment | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Moroni, UT
- NPI 1336523695
-
- Substance Abuse Rehabilitation Facility
- Ephraim, UT
- NPI 1992079099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1669985669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 461",
"city": "MORONI",
"state": "UT",
"postal_code": "846460461",
"telephone_number": "435-445-5200",
"fax_number": "435-445-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21360 NORTH 1450 EAST",
"city": "MORONI",
"state": "UT",
"postal_code": "84646461",
"telephone_number": "435-445-5200",
"fax_number": "435-445-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMM",
"first_name": "MICHAEL",
"middle_name": "RAYMOND",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-13",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235458555",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moroni, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.