Charles L Diviney III Mc Lpc Ncc LLC
NPI 1235447772ActiveOrganization· Counselor, Professional· Slc, UT
Counselor, Professional in Slc, Utah, registered in NPPES in September 2010. The authorized official on file is Debra Morrill, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235447772 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2010 |
| Last updated in NPPES | Oct 2, 2025 |
| Certified by provider | Oct 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 340426-6004 | UT |
| Counselor, Professional | 101YP2500X | 5170621-6004 | UT |
| Social Worker, Clinical | 1041C0700X | 6281940-3501 | UT |
| Clinical Nurse Specialist, Psych/Mental Health | 364SP0808X | 210158-4405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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