NPIMap

Organization Active NPI

Tri-County Mental Health and Substance Abuse Local Authority

Doing business as Northeastern Counseling Center

  • Community/Behavioral Health Agency
  • Vernal, UT
National Provider Identifier
1063595015
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRI-COUNTY MENTAL HEALTH AND SUBSTANCE ABUSE LOCAL AUTHORITY
Doing business as
Northeastern Counseling Center
Practice address
1140 W 500 S
Vernal, UT 84078-2914
Phone
(435) 725-6300
Fax
(435) 725-6325
NPI assigned
Oct 23, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Kyle Snow
Title
Cfo
Phone
(435) 725-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1140 W 500 S
Vernal, UT 84078-2914

Mailing address

PO Box 1908
Vernal, UT 84078-5908
Phone (435) 725-6300

Other names 1

  • Northeastern Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northeastern Counseling Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1063595015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840785908",
            "telephone_number": "435-725-6300",
            "fax_number": "435-725-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 500 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782914",
            "telephone_number": "435-725-6300",
            "fax_number": "435-725-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY MENTAL HEALTH AND SUBSTANCE ABUSE LOCAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "435-725-6300"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeastern Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.