Individual provider Active NPI

Amelia Hopkin, LCSW

  • Professional Counselor
  • Ogden, UT
National Provider Identifier
1962976738
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5963868-3501 Issued in UT
Practice address
3785 Harrison Blvd Ste 4
Ogden, UT 84403-2072
Phone
(801) 231-1837
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5963868-3501 UT Primary

Addresses

Primary practice location

3785 Harrison Blvd Ste 4
Ogden, UT 84403-2072

Mailing address

582 E 4400 S
South Ogden, UT 84403-3839
Phone (801) 231-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 29, 2023 through Mar 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5963868-3501UTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1962976738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 E 4400 S",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844033839",
            "telephone_number": "801-231-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 HARRISON BLVD STE 4",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032072",
            "telephone_number": "801-231-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKIN",
        "first_name": "AMELIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "5963868-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.