Active NPI
Merilyn Wright, LPC
- Professional Counselor
- Logan, UT
National Provider Identifier
1962502641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4797974-6004
- Practice address
- 550 N Main St Ste 222
Logan, UT 84321-3957 - Phone
- (435) 512-8830
- NPI assigned
- Sep 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4797974-6004 | UT | Primary |
Addresses
Primary practice location
550 N Main St Ste 222
Logan, UT 84321-3957
Mailing address
5926 W 3400 S
Wellsville, UT 84339-9801
Phone (435) 752-9767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205030541 | Other | UT | TAX IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4797974-6004 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962502641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5926 W 3400 S",
"city": "WELLSVILLE",
"state": "UT",
"postal_code": "843399801",
"telephone_number": "435-752-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N MAIN ST STE 222",
"city": "LOGAN",
"state": "UT",
"postal_code": "843213957",
"telephone_number": "435-512-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MERILYN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "4797974-6004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "205030541",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.