Individual provider Active NPI

Adam Cristopher Munk

  • Marriage & Family Therapist
  • St George, UT
National Provider Identifier
1861602435
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
25 N 100 E Ste 102
St George, UT 84770-7369
Phone
(435) 986-2565
NPI assigned
May 23, 2007
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

25 N 100 E Ste 102
St George, UT 84770-7369

Mailing address

25 N 100 E Ste 102
St George, UT 84770-7369
Phone (435) 986-2565

Other practice location 1

2812 92nd St
Lubbock, TX 79423-4120
Phone (806) 745-4732

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
I20240115001397 UT Practitioner - Marriage and Family Therapist 7618329798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2276 E Riverside Dr
St George, UT 84790-2636
Phone (435) 986-2565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Utah Community Health Center CurrentSince Jan 1, 2024 Accepting new patients
Southwest Utah Community Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Southwest Utah Community Health Center Current Accepting new patients
Southwest Utah Community Health Center Past Accepting new patients

Locations

245 E 680 S
Cedar City, UT 84720
Phone (435) 867-7654

391 N 200 W
Hurricane, UT 84737
Phone (435) 359-9525

168 N 100 E
Ste 101
St George, UT 84770
Phone (435) 986-2565

2276 E Riverside Dr
St George, UT 84790
Phone (435) 986-2565

25 N 100 E
Ste 102
St George, UT 84770
Phone (435) 359-2165

Organizations & group practices 4

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1861602435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 100 E STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707369",
            "telephone_number": "435-986-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 100 E STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707369",
            "telephone_number": "435-986-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2812 92nd St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794234120",
            "country_code": "US",
            "telephone_number": "806-745-4732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNK",
        "first_name": "ADAM",
        "middle_name": "CRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.