SAMUEL POND
NPI 1437885266
Clinic/Center - Mental Health (Including Community Mental Health Center) in North Logan, UT
About Samuel Pond NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL POND (NPI 1437885266) is a healthcare organization registered as a mental health (including community mental health center) in North Logan, Utah and active in the NPI registry since July 2022. The organization lists Samuel Pond, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Pond is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Samuel Pond, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Green Canyon Counseling's NPI number?
The NPI number for Green Canyon Counseling is 1437885266. It was assigned to this organization in the NPPES registry on July 25, 2022. The provider is doing business as Samuel Pond.
Where is Green Canyon Counseling located?
Green Canyon Counseling is located at 2027 N 200 E, North Logan, UT 84341. The listed phone number is (435) 764-6312.
What is Green Canyon Counseling's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Green Canyon Counseling enrolled in Medicare?
Yes. Green Canyon Counseling is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Green Canyon Counseling?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Green Canyon Counseling. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Green Canyon Counseling accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Green Canyon Counseling 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 Green Canyon Counseling was last updated on November 17, 2022. 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.
# Samuel Pond · NPI 1437885266
Mental Health (Including Community Mental Health Center) organization in North Logan, Utah. Organization record, active in the CMS NPPES registry since July 25, 2022.
## Identity
- **NPI:** 1437885266 (Entity type: Organization)
- **Enumerated:** July 25, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Green Canyon Counseling
- **Organization subpart:** No
- **Authorized official:** Samuel Pond, OWNER
## Practice location
- **Address:** 2027 N 200 E, North Logan, UT 84341-5505
- **Phone:** (435) 764-6312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1437885266) · Data from the CMS NPPES public registry.