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SAMUEL HARRIS POND LCSW
NPI 1285166108
Social Worker - Clinical in North Logan, UT

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
2027 N 200 E, NORTH LOGAN, UT 84341(435) 764-6312 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2022, Mar 30, 2017 (2 updates tracked since 2017).

About Samuel Harris Pond Lcsw NPPES

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

SAMUEL HARRIS POND LCSW (NPI 1285166108) is an individual clinical provider in North Logan, Utah, licensed in Utah (11747219-3501) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285166108
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMUEL HARRIS PONDCredential: LCSW
Location Address2027 N 200 ENorth Logan, UT 84341-5505
Mailing Address2027 N 200 ENorth Logan, UT 84341-5505 · (435) 764-6312
Phone(435) 764-6312
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2017
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
✔ NPI 1285166108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 11747219-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2027 N 200 E, North Logan, UT 84341
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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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Harris Pond Lcsw 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 ID6709254907
PECOS Enrollment IDI20221118002343
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

GREEN CANYON COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
2027 N 200 E
NORTH LOGAN, UT 84341
Cache County (435) 764-6312

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 Samuel Pond's NPI number?

The NPI number for Samuel Pond is 1285166108. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Samuel Pond located?

Samuel Pond practices at 2027 N 200 E, North Logan, UT 84341. The listed phone number is (435) 764-6312.

What is Samuel Pond's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samuel Pond enrolled in Medicare?

Yes. Samuel Pond 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.

What insurance does Samuel Pond accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Samuel Pond 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 Samuel Pond was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.