Charles L Diviney III Mc Lpc Ncc LLC
NPI 1235447772 · Professional Counselor · Slc, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles L Diviney III Mc Lpc Ncc LLC is a Professional Counselor organization in Slc, UT (NPI 1235447772).
Provider details
- NPI number
- 1235447772
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Debra Morrill, Billing Manager(801) 916-1645
- License
- 5170621-6004 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-09-17
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Charles L Diviney III Mc Lpc Ncc LLC's NPI number?
- Charles L Diviney III Mc Lpc Ncc LLC's National Provider Identifier (NPI) is 1235447772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles L Diviney III Mc Lpc Ncc LLC?
- Charles L Diviney III Mc Lpc Ncc LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Charles L Diviney III Mc Lpc Ncc LLC located?
- Charles L Diviney III Mc Lpc Ncc LLC's practice location on file with NPPES is 352 S Denver St Ste 350, Slc, UT 84111-3059.
- What is Charles L Diviney III Mc Lpc Ncc LLC's phone number?
- The practice phone number listed in the NPPES registry for Charles L Diviney III Mc Lpc Ncc LLC is (801) 521-4227.
- Does Charles L Diviney III Mc Lpc Ncc LLC accept Medicare?
- Charles L Diviney III Mc Lpc Ncc LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Charles L Diviney III Mc Lpc Ncc LLC?
- The authorized official listed on Charles L Diviney III Mc Lpc Ncc LLC's NPPES record is Debra Morrill, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles L Diviney III Mc Lpc Ncc LLC's NPI active?
- Yes — Charles L Diviney III Mc Lpc Ncc LLC's NPI (1235447772) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.