MR. ROBERT STARK MA PCI MRAS NPI 1215197405

NPI Information

NPI: 1215197405
Provider Name: MR. ROBERT STARK, MA, PCI, MRAS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84124
Phone: (888) 949-4864
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MR. Robert Stark, MA, PCI, MRAS is a mental health counselor in Salt Lake City, UT. MR. Robert Stark, MA, PCI, MRAS NPI is 1215197405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84124-550
Phone: (888) 949-4864

The NPI 1215197405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 3/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			No
3	101YP2500X	Counselor	Professional	900	CALIFORNIA	No
4	101YM0800X	Counselor	Mental Health	11425200-6004	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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