Organization Active NPI

Community Counseling Center of Southern Utah

  • Community/Behavioral Health Agency
  • St George, UT
National Provider Identifier
1992823249
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Chris Doss, LCSWNPI 1861682494
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D7215MedicaidUT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.