Individual provider Active NPI

Joseph Reganalberto Gouveia, CMHC

  • Mental Health Counselor
  • Roy, UT
National Provider Identifier
1790125730
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8598292-6009 Issued in UT
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104000001 UT Practitioner - Mental Health Counselor 8426581117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8598292-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Psychotherapy Services CurrentSince Sep 1, 2024 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.

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

Verify at the official NPI Registry.