Active NPI
Clinton Twitchell, MMFT
- Marriage & Family Therapist
- St. George, UT
National Provider Identifier
1831866508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 8761885-3501
- Practice address
- 1680 East, Suite D-1
St. George, UT 84790 - Phone
- (435) 705-9571
- NPI assigned
- Aug 30, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 8761885-3501 | UT | Primary |
Addresses
Primary practice location
1680 East, Suite D-1
St. George, UT 84790
Mailing address
147 N Silverspur Dr
Cedar City, UT 84720-2229
Phone (435) 592-6355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8761885-3501 | Other | UT | AMFT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8761885-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1831866508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 N SILVERSPUR DR",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847202229",
"telephone_number": "435-592-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 EAST, SUITE D-1",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-705-9571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWITCHELL",
"first_name": "CLINTON",
"credential": "MMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "8761885-3501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMFT LICENSE",
"identifier": "8761885-3501",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in St. George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.