IVONNE ALFARO , NPI 1437547098 — BRIGHAM CITY (UT)

NPI 1437547098

4+ Years Experience Individual

IVONNE ALFARO

01.06.2015
PROVIDER ENUMERATION DATE
01.06.2015
LAST UPDATE DATE
1437547098
NPI NUMBER

About IVONNE ALFARO

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

IVONNE ALFARO is a provider established in BRIGHAM CITY, UT. The NPI number of IVONNE ALFARO is 1437547098 and was assigned on 01.06.2015. The practitioners primary taxonomy code is: 101Y00000X .

Mailing address

  • City: BRIGHAM CITY
  • State: UT
  • Postal code: 84302
  • Address: 862 S MAIN SUITE 4

Primary Practice Address

  • Region : BRIGHAM CITY, UT
  • NPI : 1437547098
  • Phone : 4357231799
  • Postalcode : 843023389
  • Address : 862 S MAIN ST STE 4

Provider taxonomy - Counselor

  • Taxonomy code: 101Y00000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master"s degree and clinical experience and supervision for licensure or certification.

Contacts:

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  • IVONNE ALFARO
  • Address : 862 S MAIN ST STE 4
  • Region : BRIGHAM CITY, UT
  • NPI : 1437547098
  • Phone : 4357231799
  • Postalcode : 843023389

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address862 S MAIN ST STE 4
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameBRIGHAM CITY
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameUT
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code843023389
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number4357231799
The telephone number associated with the location address of the provider being identified.
NPI1437547098
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master"s degree and clinical experience and supervision for licensure or certification.
Provider Enumeration Date01.06.2015
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated01.06.2015
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)IVONNE ALFARO
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address862 S MAIN SUITE 4
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameBRIGHAM CITY
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameUT
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code84302
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Healthcare Provider Taxonomy Code #1101Y00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Counselor
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master"s degree and clinical experience and supervision for licensure or certification.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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