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MR. TAKAVAR GHANE LCMHC
NPI 1053864066
Counselor - Mental Health in St George, UT

Active since July 26, 2016PECOS EnrolledAccepts Medicare Assignment
1664 S DIXIE DR STE E102, ST GEORGE, UT 84770(435) 703-9647(435) 703-6003 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2023, Aug 25, 2023 (2 updates tracked since 2023).

About Mr. Takavar Ghane Lcmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TAKAVAR GHANE LCMHC (NPI 1053864066) is an individual mental health provider in St George, Utah, licensed in Utah (6782719-6004) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1053864066
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TAKAVAR GHANECredential: LCMHC
Location Address1664 S DIXIE DR STE E102St George, UT 84770-7329
Mailing Address1664 S Dixie Dr Ste E102St George, UT 84770-7329 · (435) 703-9647 · Fax (435) 703-6003
Phone(435) 703-9647
Fax(435) 703-6003
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 26, 2016
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1053864066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 6782719-6004
1664 S DIXIE DR STE E102, St George, UT 84770
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Takavar Ghane Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325490394
PECOS Enrollment IDI20240116002461
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Takavar Ghane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alberto Souza, PLLC
Same address
Psychiatric/Mental Health
1664 S DIXIE DR STE E102
Saint George, UT 84770
  • Reassigned Medicare billing, Utah enrollment
  • 11 clinicians in this Medicare group
NPI 1972141588 (435) 703-9647

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA LEWIS
Community Health Worker
1664 S DIXIE DR STE E102
ST GEORGE, UT 84770
Washington County (435) 703-9647
NORTHPOINTE RECOVERY
Clinic/Center (Rehabilitation, Substance Use Disorder)
1664 S DIXIE DR STE E102
ST GEORGE, UT 84770
Washington County (435) 773-8052
COALETTE BEDKE APRN
Nurse Practitioner (Family)
1664 S DIXIE DR STE E102
ST GEORGE, UT 84770
Washington County (435) 703-9647
TAYA MARIE WAGGONER
Social Worker (Clinical)
1664 S DIXIE DR STE E102
ST GEORGE, UT 84770
Washington County (435) 703-9647
MR. CHRISTOPHER CRESS CHARTER APRN
Nurse Practitioner (Psychiatric/Mental Health)
1664 S DIXIE DR STE E102
ST GEORGE, UT 84770
Washington County (435) 703-9647
TYLER D PATTEN APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1664 S DIXIE DR STE E102
SAINT GEORGE, UT 84770
Washington County (435) 703-9647
MS. LISA R. RENDA MA, LMFT
Counselor (Professional)
1664 S DIXIE DR STE E102
SAINT GEORGE, UT 84770
Washington County (253) 304-4187
HEATHER CHRISTIE
Social Worker (Clinical)
1664 S DIXIE DR STE E102
ST GEORGE, UT 84770
Washington County (435) 703-9647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Takavar Ghane's NPI number?

The NPI number for Takavar Ghane is 1053864066. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Takavar Ghane located?

Takavar Ghane practices at 1664 S Dixie Dr Ste E102, St George, UT 84770. The listed phone number is (435) 703-9647.

What is Takavar Ghane's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Takavar Ghane enrolled in Medicare?

Yes. Takavar Ghane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Takavar Ghane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Takavar Ghane reassigns Medicare benefits to Alberto Souza, PLLC (Saint George, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Takavar Ghane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Takavar Ghane accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Takavar Ghane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Takavar Ghane was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.