Organization provider

CHARLES L DIVINEY III MC LPC NCC LLC

Professional Counselor Clinical Social Worker Psychiatric/Mental Health Clinical Nurse Specialist Medicare enrolled

CHARLES L DIVINEY III MC LPC NCC LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1235447772, based in Slc, UT. The organization lists 3 taxonomy classifications, with Professional Counselor recorded as primary.

Getting there

The practice address on file is 352 S DENVER ST STE 350, Slc, UT 84111. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

352 S DENVER ST STE 350, Slc, UT 84111 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
340426-6004 UT Professional Counselor primary
5170621-6004 UT Professional Counselor
6281940-3501 UT Clinical Social Worker
210158-4405 UT Psychiatric/Mental Health Clinical Nurse…

This provider holds licence 340426-6004 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
7416108030

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 340426-6004 UT primary
101YP2500X Professional Counselor Professional 5170621-6004 UT
1041C0700X Clinical Social Worker Clinical 6281940-3501 UT
364SP0808X Psychiatric/Mental Health Clinical Nurse Specialist Psychiatric/Mental Health 210158-4405 UT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1235447772 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateSep 17, 2010
Last updatedOct 2, 2025
StatusActive
Practice address 352 S DENVER ST STE 350
Slc, UT 84111
(801) 521-4227
Fax (801) 359-0777
Mailing address PO BOX 3872
Slc, UT 84110
Other identifiers 340426600001001 · BCBS UT (UT)
This record was updated on Oct 2, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1235447772 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 3 5 4 4 7 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 6 5 8 4 5 7 5

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1235447772?
NPI 1235447772 is the National Provider Identifier assigned to CHARLES L DIVINEY III MC LPC NCC LLC in Slc, UT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact CHARLES L DIVINEY III MC LPC NCC LLC?
The phone number on file with NPPES is (801) 521-4227, last updated Oct 2, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does CHARLES L DIVINEY III MC LPC NCC LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1235447772 a valid number?
Yes. 1235447772 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.