Active NPI
Joseph Reganalberto Gouveia, CMHC
- Mental Health Counselor
- Roy, UT
National Provider Identifier
1790125730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8598292-6009
- Practice address
- 2156 W 6000 S
Roy, UT 84067-1426 - Phone
- (801) 520-7938
- Fax
- (800) 528-1208
- NPI assigned
- Jul 3, 2013
- Last updated
- Sep 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8598292-6009 | UT | Primary |
Addresses
Primary practice location
2156 W 6000 S
Roy, UT 84067-1426
Mailing address
6000 S Fashion Blvd Ste 211
Murray, UT 84107-5435
Phone (801) 520-7938
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8598292-6009 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Psychotherapy Services | Current | Accepting new patients |
Locations
4885 S 900 E
Ste 207
Murray, UT 84117
Phone (801) 309-6980
6000 S Fashion Blvd
Ste 211
Murray, UT 84107
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.
-
dba Ipsse
- Community/Behavioral Health Agency
- Salt Lake City, UT
- NPI 1760037675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1790125730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 S FASHION BLVD STE 211",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075435",
"telephone_number": "801-520-7938",
"fax_number": "800-528-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2156 W 6000 S",
"city": "ROY",
"state": "UT",
"postal_code": "840671426",
"telephone_number": "801-520-7938",
"fax_number": "800-528-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUVEIA",
"first_name": "JOSEPH",
"middle_name": "REGANALBERTO",
"credential": "CMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-03",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "8598292-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.