Pride Counseling Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

140182-3501 Issued in UT

Legal business name

PRIDE COUNSELING INC

Practice address

1174 E Graystone Way Ste 20E
Salt Lake City, UT 84106-2678

Phone

(801) 595-0666

Fax

(801) 595-0669

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry L Buie, LCSWNPI 1174599393

Title

Licensed Clinical Social Worker

Phone

(801) 595-0666

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 5

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

• Jerry L Buie, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1174599393
  Medicare reassignment NPD Authorized official
• Veronica Barry, CSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1043406267
  NPD (past)
• Stephanie R Depaoli, LCSW

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1497711352
  NPD (past)
• Janice Ann Plummer, APRN

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1881789709
  NPD (past)
• Molly George Prince, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1396700548
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1790899284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 E GRAYSTONE WAY STE 20E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062678",
            "telephone_number": "801-595-0666",
            "fax_number": "801-595-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 E GRAYSTONE WAY STE 20E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062678",
            "telephone_number": "801-595-0666",
            "fax_number": "801-595-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "BUIE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "801-595-0666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "140182-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377869655001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF UTAH",
            "identifier": "37786965502001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Price
• Steve Price
• Summer Ann Price, MS
• Thomas Price
• Tonia Price
• Bryon Pridgen-Davis
• Catherine Priest
• Heather M Priest
• Daniel H Priestly, M.D.
• Sophia Celeste Prieto

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.