Individual provider Active NPI

Stephanie Henrie, CMHC

  • Professional Counselor
  • St George, UT
National Provider Identifier
1760659346
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
128157-6004 Issued in UT
Practice address
225 N Bluff St Ste 5
Saint George, UT 84770-4568
Phone
(435) 669-8375
NPI assigned
May 13, 2008
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 128157-6004 UT Primary

Addresses

Primary practice location

225 N Bluff St Ste 5
Saint George, UT 84770-4568

Mailing address

1183 Shadow Point Dr Ste 5
Saint George, UT 84770-8038
Phone (435) 669-1323

Other identifiers 1

IdentifierTypeStateIssuer
1760659346MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424003430 UT Practitioner - Mental Health Counselor 3779923719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Circle Counseling CenterGroup PAC ID 4486040425, 2 clinicians

Practice addresses (Care Compare)

225 N Bluff St
Suite 5
Saint George, UT 84770-4568
Phone (435) 669-8375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Circle Counseling Center CurrentSince Apr 1, 2024 Accepting new patients

Locations

225 N Bluff St
Ste 5
St George, UT 84770
Phone (435) 229-5240

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1760659346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 SHADOW POINT DR STE 5",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847708038",
            "telephone_number": "435-669-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N BLUFF ST STE 5",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847704568",
            "telephone_number": "435-669-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIE",
        "first_name": "STEPHANIE",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "128157-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760659346",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.