Ivory Colledge Behunin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9812963-3501 Issued in UT

Practice address

474 W 200 N
St George, UT 84770-4505

Phone

(435) 634-5600

NPI assigned

Jul 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ivory Colledge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southwest Center

  • Multi-Specialty Clinic/Center
  • St George, UT
  • NPI 1922053586
  NPD

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1841608791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 W 200 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704505",
            "telephone_number": "435-634-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 W 200 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704505",
            "telephone_number": "435-634-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHUNIN",
        "first_name": "IVORY",
        "middle_name": "COLLEDGE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9812963-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVORY",
            "last_name": "COLLEDGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beehive Homes of Washington County, Inc.
• Beehive Homes of Washington County, Inc.
• Beehive Homes of Washington County, Inc.
• Steven James Beeke
• Tatum C Begay
• Jessica Nicole Behunin, CPNP-AC
• Kierstin Pauline Behunin
• Zackery Scott Beitler, D.C.
• Melissa Belback
• Amelia Bell, PA-C

• Clinical Social Worker in St George, UT
• Providers in St George, 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 Apr 17, 2024; 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.

Verify at the official NPI Registry.