NPIMap

Organization Active NPI

Stable Environment LLC

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1922579689
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STABLE ENVIRONMENT LLC
Practice address
315 W Hilton Dr Ste 4
St George, UT 84770-2203
Phone
(435) 680-2726
Fax
(435) 414-6584
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Alexandrah Keenan, LCSW, LSUDCNPI 1366876104
Title
Owner
Phone
(435) 680-2726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

315 W Hilton Dr Ste 4
St George, UT 84770-2203

Mailing address

1223 S 1280 E
Saint George, UT 84790-8553
Phone (435) 680-1459

Other practice location 1

1223 S 1280 E
Saint George, UT 84790-8553
Phone (435) 680-1459

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1922579689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S 1280 E",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908553",
            "telephone_number": "435-680-1459",
            "fax_number": "435-414-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HILTON DR STE 4",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702203",
            "telephone_number": "435-680-2726",
            "fax_number": "435-414-6584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 S 1280 E",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847908553",
            "country_code": "US",
            "telephone_number": "435-680-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STABLE ENVIRONMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "ALEXANDRAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-680-2726",
        "authorized_official_credential": "LCSW, LSUDC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2020; 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.