Organization Active NPI

Mountain Peak Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Provo, UT
National Provider Identifier
1023514817
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MOUNTAIN PEAK RECOVERY, LLC
Practice address
619 N 500 W Ste 201
Provo, UT 84601-1547
Phone
(385) 312-8400
Fax
(801) 734-3938
NPI assigned
Apr 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lena D Barney
Title
Cfo
Phone
(385) 312-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

619 N 500 W Ste 201
Provo, UT 84601-1547

Mailing address

PO Box 361
Spanish Fork, UT 84660-0361
Phone (385) 312-8400

Other practice location 1

14048 S. Hwy 89
Spanish Fork (Thistle), UT 84660-8466
Phone (385) 312-8400

National Provider Directory

National Provider Directory

Locations

619 N 500 W
Ste 201
Provo, UT 84601
Phone (385) 312-8400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1023514817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846600361",
            "telephone_number": "385-312-8400",
            "fax_number": "801-734-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N 500 W STE 201",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011547",
            "telephone_number": "385-312-8400",
            "fax_number": "801-734-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14048 S. Hwy 89",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork (Thistle)",
            "state": "UT",
            "postal_code": "846608466",
            "country_code": "US",
            "telephone_number": "385-312-8400",
            "fax_number": "801-734-3938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAIN PEAK RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "LENA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "385-312-8400"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.