Individual provider Active NPI

Ryan L Farr, CMHC

  • Mental Health Counselor
  • Tooele, UT
National Provider Identifier
1821365602
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7241251-6004 Issued in UT
Practice address
134 W 1180 N Ste 5
Tooele, UT 84074-1483
Phone
(435) 248-0333
Fax
(435) 248-0334
NPI assigned
Nov 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 7241251-6004 UT Primary

Addresses

Primary practice location

134 W 1180 N Ste 5
Tooele, UT 84074-1483

Mailing address

134 W 1180 N Ste 5
Tooele, UT 84074-1483
Phone (435) 248-0333

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
I20240305002046 UT Practitioner - Mental Health Counselor 2163867706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick Green MD PLLCGroup PAC ID 6204000102, 8 clinicians

Practice addresses (Care Compare)

134 W 1180
Suite 5
Tooele, UT 84074-1483

30 S Tooele Blvd
Tooele, UT 84074-2093
Phone (435) 248-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Green MD PLLC CurrentSince Jan 1, 2024 Accepting new patients
Patrick Green MD PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

134 W 1180 N
Ste 5
Tooele, UT 84074
Phone (435) 248-0333

30 S Tooele Blvd
Tooele, UT 84074
Phone (435) 241-7778

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1821365602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W 1180 N STE 5",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741483",
            "telephone_number": "435-248-0333",
            "fax_number": "435-248-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W 1180 N STE 5",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741483",
            "telephone_number": "435-248-0333",
            "fax_number": "435-248-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "RYAN",
        "middle_name": "L",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-22",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7241251-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.