Allen Stayner Richards, LCSW (9/2016)

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9068997-3501 Issued in UT

Practice address

640 E 700 S Ste 205B
Saint George, UT 84770-5773

Phone

(435) 817-9780

NPI assigned

Jan 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Moenkopi Counseling PC Professional name

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St. George Children and Family Psychiatric Center PCGroup PAC ID 5294906855, 13 clinicians

Practice addresses (Care Compare)

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.

• St. George Children & Family Psychiatric Center PC

  • Specialist
  • Saint George, UT
  • NPI 1225326044
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1912329939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 ALLISON ROW",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908306",
            "telephone_number": "435-773-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S STE 205B",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847705773",
            "telephone_number": "435-817-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 W 200 N",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847704505",
            "country_code": "US",
            "telephone_number": "435-634-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ALLEN",
        "middle_name": "STAYNER",
        "name_prefix": "Mr.",
        "credential": "LCSW (9/2016)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-09",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "MSW 2ND YEAR INTERN",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9068997-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOENKOPI",
            "last_name": "COUNSELING PC",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Elizabeth Rhodes, CMHC
• Sydney Rhoton
• Lillian Victoria Rice
• Thomas Perry Rich, PT, DPT
• Richard W Wintch, MD PC
• Kathryn Richards
• Ray Stayner Richards, M.D.
• Spencer Dyreng Richards, DMD
• Taryn Richards
• Tenesha Richards

• Clinical Social Worker in Saint George, UT
• Providers in Saint 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 Mar 28, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.