UTAH STATE UNIVERSITY
NPI 1063679785
Community/Behavioral Health in Logan, UT

Active since May 20, 2008
6813 OLD MAIN HILL, LOGAN, UT 84322(435) 797-3822 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Utah State University NPPES

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

UTAH STATE UNIVERSITY (NPI 1063679785) is a healthcare organization registered as a community/behavioral health in Logan, Utah and active in the NPI registry since May 2008. The organization lists Shegay Cook, Programs Administrator, as its authorized official.

NPPES Registry Identity

NPI1063679785
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameUTAH STATE UNIVERSITY
Location Address6813 OLD MAIN HILLLogan, UT 84322-6813
Mailing Address1415 Old Main HillLogan, UT 84322-1415 · (435) 797-1226
Organization SubpartNo
Authorized OfficialShegay CookPrograms Administrator · (435) 797-1415
Enumeration DateMay 20, 2008
✔ NPI 1063679785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
6813 OLD MAIN HILL, Logan, UT 84322

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Utah State University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Utah State University, which bills Medicare for the services they deliver. Of these, 20 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Qualified Speech Language Pathologist9
Qualified Audiologist5
Mental Health Counselor4
Physical Therapist in Private Practice2
Clinical Psychologist1
Clinical Social Worker1

Nearest to this location (20)

See all 22
Qualified Speech Language Pathologist
NPI 1992107312
1000 OLD MAIN HILL
Logan, UT 84322
(435) 797-5531
✔ Accepts Medicare0.1 mi
Qualified Speech Language Pathologist
NPI 1932625985
1000 OLD MAIN HL
Logan, UT 84322
(435) 797-1375
0.1 mi
Qualified Audiologist
NPI 1073998365
1000 OLD MAIN HL
Logan, UT 84322
(435) 797-1346
✔ Accepts Medicare0.1 mi
Qualified Speech Language Pathologist
NPI 1417528738
585 N 400 E
Providence, UT 84332
(435) 512-9536
1.4 mi
Physical Therapist in Private Practice
NPI 1366628356
1655 N 200 E
Logan, UT 84341
(435) 753-1844
✔ Accepts Medicare1.9 mi
Clinical Social Worker
NPI 1376116319
6405 OLD MAIN HILL
Logan, UT 84321
(435) 797-3403
✔ PECOS2.2 mi
Physical Therapist in Private Practice
NPI 1760560700
169 N GATEWAY DR STE 210
Providence, UT 84332
(435) 701-7010
✔ Accepts Medicare2.4 mi
Mental Health Counselor
NPI 1962230474
6405 OLD MAIN HILL
Logan, UT 84322
(435) 797-4200
✔ PECOS3.8 mi
Qualified Audiologist
NPI 1942149554
6405 OLD MAIN HILL
Logan, UT 84322
(435) 797-4200
✔ Accepts Medicare3.8 mi
Qualified Speech Language Pathologist
NPI 1659932275
6410 OLD MAIN HL
Logan, UT 84322
(435) 797-1375
✔ Accepts Medicare8.4 mi
Mental Health Counselor
NPI 1255840021
6405 OLD MAIN HILL
Logan, UT 84322
(435) 797-3401
✔ PECOS✔ Accepts Medicare8.4 mi
Qualified Speech Language Pathologist
NPI 1811762834
6410 OLD MAIN HL
Logan, UT 84322
(435) 797-1375
✔ Accepts Medicare8.4 mi
Qualified Speech Language Pathologist
NPI 1417532185
6410 OLD MAIN HL
Logan, UT 84322
(435) 797-1375
8.4 mi
Qualified Speech Language Pathologist
NPI 1982035473
6410 OLD MAIN HILL
Logan, UT 84322
(435) 797-1375
8.4 mi
Qualified Audiologist
NPI 1114455334
6410 OLD MAIN HL
Logan, UT 84322
(435) 797-1374
8.4 mi
Qualified Speech Language Pathologist
NPI 1356053607
6410 OLD MAIN HL
Logan, UT 84322
(435) 797-4200
8.4 mi
Qualified Audiologist
NPI 1871509356
1000 OLD MAIN HL
Logan, UT 84322
(435) 797-1375
✔ Accepts Medicare8.4 mi
Qualified Audiologist
NPI 1811556426
6410 OLD MAIN HL
Logan, UT 84322
(435) 797-9234
✔ Accepts Medicare8.4 mi
Mental Health Counselor
NPI 1619756715
6405 OLD MAIN HILL
Logan, UT 84322
(435) 797-3478
✔ PECOS8.8 mi
Clinical Psychologist
NPI 1164301610
6405 OLD MAIN HILL
Logan, UT 84322
(435) 797-4200
✔ PECOS✔ Accepts Medicare8.8 mi
See all 22 clinicians

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

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 Utah State University's NPI number?

The NPI number for Utah State University is 1063679785. It was assigned to this organization in the NPPES registry on May 20, 2008.

Where is Utah State University located?

Utah State University is located at 6813 Old Main Hill, Logan, UT 84322. The listed phone number is (435) 797-3822.

What is Utah State University's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Utah State University enrolled in Medicare?

Yes. Utah State University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Utah State University?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 6 Medicare specialties reassign their Medicare billing to Utah State University. A 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 the clinician's services. The largest specialties are Qualified Speech Language Pathologist (9), Qualified Audiologist (5) and Mental Health Counselor (4). Of these, 20 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Utah State University was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.