Moenkopi Counseling PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOENKOPI COUNSELING PC

Practice address

230 N 1680 E Ste H2
Saint George, UT 84790-2585

Phone

(435) 773-8909

Fax

(435) 673-5710

NPI assigned

Apr 19, 2018

Last updated

Nov 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allen Richards, LCSWNPI 1912329939

Title

Owner

Phone

(435) 817-9780

Specialties & licenses 1

Addresses

Locations

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.

• Allen Stayner Richards, LCSW (9/2016)

  • Clinical Social Worker
  • St George, UT
  • NPI 1912329939
  Authorized official Same address or phone

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1760979397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 ALISON ROW",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908306",
            "telephone_number": "435-817-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E STE H2",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847902585",
            "telephone_number": "435-773-8909",
            "fax_number": "435-673-5710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 E 700 S Ste 205B",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847705773",
            "country_code": "US",
            "telephone_number": "435-817-9780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOENKOPI COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-817-9780",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Hideo Mizukawa, D.D.S.
• Quamell Jafaar Mobley
• Moderm Medical Solutions Ut PLLC
• Modern Medical Injury Clinic LLC
• Lorraine Gail Moe
• Scott G Moesinger, M.D.
• Andrew Collin Moffitt
• Kori Moffitt
• Zackary Moffitt, CPSS
• Pamela Mogler

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.