Active NPI
Community Counseling Center of Southern Utah
- Community/Behavioral Health Agency
- St George, UT
National Provider Identifier
1992823249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COMMUNITY COUNSELING CENTER OF SOUTHERN UTAH
- Practice address
- 168 N 100 E Ste 204
St George, UT 84770-2893 - Phone
- (435) 674-9449
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Doss, LCSW
- Title
- Registered Agent
- Phone
- (435) 669-8970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Voluntary or Charitable Agency | 251V00000X |
Addresses
Primary practice location
168 N 100 E Ste 204
St George, UT 84770-2893
Mailing address
PO Box 3001
Cedar City, UT 84721-3001
Phone (435) 652-4142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D7215 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
168 N 100 E
Ste 204211
St George, UT 84770
Phone (435) 652-4142
168 N 100 E
Ste 204
St George, UT 84770
Phone (435) 652-4142
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1861682494
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1013186030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216857600000",
"number": "1992823249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3001",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847213001",
"telephone_number": "435-652-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 N 100 E STE 204",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702893",
"telephone_number": "435-674-9449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY COUNSELING CENTER OF SOUTHERN UTAH",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2008-07-24",
"status": "A",
"authorized_official_last_name": "DOSS",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "435-669-8970",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D7215",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.