Active NPI
Casey Paul Fife
- Social Worker
- Brigham City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10590005-3502
- Practice address
- 862 S Main
Suite 4
Brigham City, UT 84302 - Phone
- (435) 754-4735
- NPI assigned
- Jun 17, 2014
- Reactivated
- Jul 3, 2018
- Last updated
- Oct 23, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | 10590005-3502 | UT | Primary |
Addresses
Primary practice location
862 S Main
Suite 4
Brigham City, UT 84302
Mailing address
9045 S 1300 E Ste 200
Sandy, UT 84094-3134
Phone (801) 666-6834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 S 700
Suite 9
Salt Lake City, UT 84107-2581
Phone (801) 639-3544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10590005-3502 | UT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live for Life Behavioral Health, LLC | Single Specialty | Current | Accepting new patients |
| Compass Counseling and Consulting | Single Specialty | Current | Accepting new patients |
| Live for Life LLC | Past | Accepting new patients |
Locations
3970 S 700 E
Ste 17
Salt Lake City, UT 84107
Phone (801) 639-3544
4000 S 7th E
Ste 9
Salt Lake Cty, UT 84107
Phone (801) 635-4141
9045 S 1300 E
#200
Sandy, UT 84094
Phone (801) 666-6834
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Salt Lake City, UT
- NPI 1356669360
Single Specialty
-
dba Live for Life Behavioral Health
- Mental Health Counselor
- Sandy, UT
- NPI 1205484755
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandy, UT
- NPI 1679062301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1720492887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9045 S 1300 E STE 200",
"city": "SANDY",
"state": "UT",
"postal_code": "840943134",
"telephone_number": "801-666-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 S MAIN",
"address_2": "SUITE 4",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "84302",
"telephone_number": "435-754-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIFE",
"first_name": "CASEY",
"middle_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"deactivation_date": "2018-06-01",
"reactivation_date": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "10590005-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.