Active NPI
Catherine Patricia Jurado
- Counselor
- Vernal, UT
National Provider Identifier
1992098602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6262402-3503
- Practice address
- 1140 W 500 S
Vernal, UT 84078-2914 - Phone
- (435) 789-6300
- Fax
- (435) 789-6325
- NPI assigned
- May 27, 2011
- Last updated
- May 27, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6262402-3503 | UT | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 W 500
Vernal, UT 84078-2914
Phone (435) 789-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6262402-3503 | UT | MD | Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northeastern Counseling Center
- Community/Behavioral Health Agency
- Vernal, UT
- NPI 1891873121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1992098602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 W 500 S # 9",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782912",
"telephone_number": "435-789-6300",
"fax_number": "435-789-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 W 500 S",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782914",
"telephone_number": "435-789-6300",
"fax_number": "435-789-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURADO",
"first_name": "CATHERINE",
"middle_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "6262402-3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.