Active NPI
Tamra J.G. Priestley, ACMHC
- Mental Health Counselor
- Logan, UT
National Provider Identifier
1992258644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9763782-6009
- Practice address
- 95 W 100 S Ste 386
Logan, UT 84321-5838 - Phone
- (435) 915-6915
- NPI assigned
- Jul 29, 2016
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9763782-6009 | UT | Primary |
Addresses
Primary practice location
95 W 100 S Ste 386
Logan, UT 84321-5838
Mailing address
95 W 100 S Ste 386
Logan, UT 84321-5838
Phone (435) 915-6915
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9763782-6009 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health, Healing and Wholeness, LLC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Logan, UT
- NPI 1053883512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1992258644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 W 100 S STE 386",
"city": "LOGAN",
"state": "UT",
"postal_code": "843215838",
"telephone_number": "435-915-6915",
"fax_number": "435-226-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 W 100 S STE 386",
"city": "LOGAN",
"state": "UT",
"postal_code": "843215838",
"telephone_number": "435-915-6915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIESTLEY",
"first_name": "TAMRA",
"middle_name": "J.G.",
"credential": "ACMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "9763782-6009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.