RUSSELL BINGHAM (NPI# 1275923161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275923161 |
| Entity Type | Individual |
| Full Name | RUSSELL BINGHAM |
| Credential | ACMHC |
| Practice Address |
474 W 200 N St George UT 84770-4505 |
| Practice Telephone | 4356345600 |
| Practice Fax Number | 4359868700 |
| Mailing Telephone | 4356345600 |
| Mailing Fax Number | 4359868700 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5599275-6009 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386774016 | Russell Wayne Bingham | Counselor | 4009 Eufala St, Muskogee, OK 74403 | 2007-03-06 |
| 1871698803 | Russell N. Bingham | Emergency Medicine | 25 Wells St, Westerly, RI 02891-2922 | 2006-09-14 |
| Street Address |
474 W 200 N |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548212640 | Southwest Center | Clinic/Center | 474 W 200 N, #300, St George, UT 84770-4505 | 2006-05-17 |
| 1538784160 | Mikenda Pearl Busic | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-06-09 |
| 1912521022 | Dana Moody | Counselor | 474 W 200 N, St George, UT 84770-4505 | 2020-06-04 |
| 1285258533 | Lana Kathleen Wimmer | Counselor | 474 W 200 N, St George, UT 84770-4505 | 2020-06-02 |
| 1558985283 | Abel Ortiz | Social Worker | 474 W 200 N, St George, UT 84770-4505 | 2020-05-28 |
| 1104447960 | Holly Edwards | Registered Nurse | 474 W 200 N, St George, UT 84770-4505 | 2020-05-04 |
| 1275154486 | Kaitlan B Terry | Social Worker | 474 W 200 N, St George, UT 84770-4505 | 2020-04-28 |
| 1265069926 | Lupita Ann Holiday | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-03-24 |
| 1942835046 | Elizabrth Hagen | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-03-09 |
| 1215568530 | Willie C Townsend IIi | Case Manager/Care Coordinator | 474 W 200 N, St George, UT 84770-4505 | 2020-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437623 | Counseling for Success Inc | Counselor | 166 N 300 W Ste 4, St George, UT 84770-2770 | 2020-08-10 |
| 1881215291 | Laura Helquist | Counselor | 321 N Mall Dr # 0-101, St George, UT 84790-7302 | 2020-04-27 |
| 1952861841 | Billie Jene Authement Acheson | Counselor | 620 S 400 E Ste 404, St George, UT 84770-7065 | 2019-03-25 |
| 1801352380 | Brayden Sloan | Counselor | 225 N Country Ln Unit 55, St George, UT 84770-8458 | 2019-02-20 |
| 1578095683 | Leigh Ann Stambaugh | Counselor | 1031 S Bluff St # 130, St George, UT 84770-5206 | 2017-03-28 |
| 1093252348 | Kathryn G Price Lcmhc LLC | Counselor | 292 S 1470 E, St George, UT 84790-1763 | 2017-01-25 |
| 1659825271 | Connie Hanson | Counselor | 230 N 1680 E Ste T2, St George, UT 84790-2573 | 2016-08-11 |
| 1063880839 | Colby Gannon Backman | Counselor | 301 N 200 E Ste 2c, St George, UT 84770-3040 | 2015-09-09 |
| 1306255435 | Tracy Davis | Counselor | 638 E 3470 S, St George, UT 84790-6246 | 2014-08-02 |
| 1053733949 | Erin Boorman | Counselor | 1240 E 100 S Ste 121, St George, UT 84790-3079 | 2014-01-10 |
| Find all providers in ST GEORGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.