Catherine Patricia Jurado
Individual provider Active NPI Counselor · Vernal, UT
NPI 1992098602 · NPPES record last updated May 27, 2011
Key facts
- NPI
- 1992098602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6262402-3503 (UT)
- Practice address
- 1140 W 500 S
Vernal, UT 84078-2914 - Phone
- (435) 789-6300
- Fax
- (435) 789-6325
- NPI assigned
- May 27, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Uintah Basin Tri-County Mental Health and Substance Abuse Local Author
Practice addresses (Care Compare)
1140 W 500
Vernal, UT 84078-2914
Phone (435) 789-6300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140827002881 | UT | Practitioner - Clinical Social Worker | 5597983858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6262402-3503 | UT | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6262402-3503 | UT | Yes |
Addresses
Primary practice location
1140 W 500 S
Vernal, UT 84078-2914
Mailing address
1140 W 500 S # 9
Vernal, UT 84078-2912
Phone (435) 789-6300
Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.