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

Organization subpart

No

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

Authorized official

Name

Allen Richards, LCSW

Title

Owner

Phone

(435) 817-9780

Specialties & licenses 1

Addresses

Locations

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 Saint George, UT
• Providers in Saint 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.