Organization Active NPI

Tamatha Smith

  • Mental Health Counselor
  • Heber City, UT
National Provider Identifier
1770291361
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TAMATHA SMITH
Practice address
664 N 100 W
Heber City, UT 84032-1208
Phone
(435) 602-9245
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Tamatha Smith, CMHCNPI 1659658003
Title
Member
Phone
(435) 602-9245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

664 N 100 W
Heber City, UT 84032-1208

Mailing address

664 N 100 W
Heber City, UT 84032-1208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260212002287 UT Part B Supplier - Clinic/Group Practice 6002396793 Receives reassigned benefits from 1 practitioner
Practice locations: Heber City, UT

National Provider Directory

National Provider Directory

Locations

722 W 100 S
#2
Heber City, UT 84032
Phone (435) 602-9245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1770291361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 N 100 W",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 N 100 W",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321208",
            "telephone_number": "435-602-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMATHA SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMATHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "435-602-9245",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.