Morgan Slade

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11935122-3501 Issued in UT

Practice address

12447 S Crossing Dr Ste 13
Riverton, UT 84096-7020

Phone

(801) 984-0184

Fax

(801) 984-0186

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Serenity Recovery and Wellness

  • Clinical Social Worker
  • Riverton, UT
  • NPI 1316493521
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1932818739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 N TRAILSIDE STA",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055728",
            "telephone_number": "435-590-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12447 S CROSSING DR STE 13",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967020",
            "telephone_number": "801-984-0184",
            "fax_number": "801-984-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11935122-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Simons Camassi, AGNP
• Katherine Jo Simpson, CSW
• Sabrina Simpson
• Tamera Simpson, P.T.
• Tony Lewis Skanchy, D.M.D.
• Sleep and Breathe Specialists
• Barton Sloan, D.M.D.
• Tawnya Sluka, RN
• Mandy Jo Smalley
• Gabrielle Jasmine Smart, MD

• Mental Health Counselor in Riverton, UT
• Providers in Riverton, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.