Individual provider Active NPI

Cindy Redd White, CSW

  • Mental Health Counselor
  • Pleasant Grove, UT
National Provider Identifier
1982924106
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7676220-3502 Issued in UT
Practice address
194 S Main St
Pleasant Grove, UT 84062-2631
Phone
(801) 785-1169
Fax
(801) 785-1154
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7676220-3502 UT Primary

Addresses

Primary practice location

194 S Main St
Pleasant Grove, UT 84062-2631

Mailing address

194 S Main St
Pleasant Grove, UT 84062-2631
Phone (801) 785-1169

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

LicenseStateTypeSpecialty
7676220-3502UTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1982924106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 S MAIN ST",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622631",
            "telephone_number": "801-785-1169",
            "fax_number": "801-785-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 S MAIN ST",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622631",
            "telephone_number": "801-785-1169",
            "fax_number": "801-785-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD WHITE",
        "first_name": "CINDY",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7676220-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.