Kristin Eva Godwin, CMHC
Individual provider Active NPI Mental Health Counselor · Moab, UT
NPI 1972238525 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1972238525
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 11479117-6004 (UT)
- Practice address
- 1513 Hunt Creek Dr
Moab, UT 84532-6103 - Phone
- (435) 210-8725
- NPI assigned
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11479117-6004 | UT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11479117-6004 | UT | Yes |
Addresses
Primary practice location
1513 Hunt Creek Dr
Moab, UT 84532-6103
Mailing address
1513 Hunt Creek Dr
Moab, UT 84532-6103
Phone (435) 210-8725
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11479117-6004 | Other | UT | STATE LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | aercounseling@gmail.com | Health Information Exchange (HIE) | |
| Other URL | aercounseling@gmail.com | Health Information Exchange (HIE) | |
| Other URL | aercounseling@gmail.com | Health Information Exchange (HIE) |
Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.