Phyllis M Tronrud, M.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6818930-6004 Issued in UT

Practice address

1407 N 2000 W
Suite D
Clinton, UT 84015-8562

Phone

(801) 971-5550

NPI assigned

Dec 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Phyllis M Waite Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1871776146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 N 2000 W",
            "address_2": "SUITE D",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158562",
            "telephone_number": "801-971-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N 2000 W",
            "address_2": "SUITE D",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158562",
            "telephone_number": "801-971-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRONRUD",
        "first_name": "PHYLLIS",
        "middle_name": "M",
        "credential": "M.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "6818930-6004",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6818930-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "WAITE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Clinton, UT
• Providers in Clinton, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.