Individual provider Active NPI

Mandi Spens, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bountiful, UT
National Provider Identifier
1073192357
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5137126-8900 Issued in UT
Practice address
630 Medical Dr
Bountiful, UT 84010-4908
Phone
(801) 299-3781
NPI assigned
Apr 5, 2021
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5137126-8900 UT Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-5627 HI

Addresses

Primary practice location

630 Medical Dr
Bountiful, UT 84010-4908

Mailing address

PO Box 742353
Atlanta, GA 30374-2353

Other practice location 1

1995 Errecart Blvd Ste 207
Elko, NV 89801-8337
Phone (801) 477-7189

Other practice location 2

1188 Bishop St Ste 3005
Honolulu, HI 96813-3312
Phone (808) 745-1999

Other practice location 3

1221 S Valley Grove Way Ste 160
Pleasant Grove, UT 84062-6758
Phone (801) 477-7189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210804002366 UT Practitioner - Nurse Practitioner 7618371246 Reassigns benefits to 5 organizations
I20260306003548 HI Practitioner - Nurse Practitioner 7618371246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alan Wolfson MD LLCGroup PAC ID 9931559747, 6 clinicians
Whole Mind LLCGroup PAC ID 6406228220, 15 clinicians
Ascendant Behavioral Health LLCGroup PAC ID 1850673187, 62 clinicians

Practice addresses (Care Compare)

1188 Bishop St
Suite 3005
Honolulu, HI 96813-3312
Phone (669) 235-7580

1221 S Valley Grove Way
Suite 160
Pleasant Grove, UT 84062-6758
Phone (801) 477-7189

5965 S 900
Suite 100
Murray, UT 84121-1850
Phone (385) 419-4261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-5627HIMDPsychiatric/Mental Health Nurse Practitioner
5137126-8900UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. Psychiatry CurrentSince May 26, 2021 Accepting new patients
Senior Health LLC CurrentSince Dec 1, 2024 Accepting new patients
Mountainstar Behavioral Health LLC CurrentSince Feb 24, 2025 Accepting new patients
Alan Wolfson MD LLC Psychiatry CurrentSince Feb 6, 2026 Accepting new patients
Whole Mind LLC Psychiatry CurrentSince Oct 6, 2025 Accepting new patients
Ascendant Behavioral Health LLC CurrentSince Mar 15, 2025 Accepting new patients
Rayner Whole Mind of Nevada PLLC Psychiatry CurrentSince Aug 10, 2026 Accepting new patients
Health Services Inc CurrentSince May 26, 2021 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

1188 Bishop St
Ste 3005
Honolulu, HI 96813
Phone (669) 235-7580

1995 Errecart Blvd
Ste 207
Elko, NV 89801
Phone (775) 234-5883

1481 E 1450 S
Clearfield, UT 84015
Phone (801) 397-4300

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3051 W Maple Loop Dr
Ste 210
Lehi, UT 84048
Phone (801) 502-3913

550 E 1400 N
Ste T
Logan, UT 84341
Phone (435) 716-1664

5965 S 900 E
Ste 100
Murray, UT 84121
Phone (801) 639-9146

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

3500 Harrison Blvd
Ste 200
Ogden, UT 84403
Phone (801) 627-2225

1000 E 100 N
Payson, UT 84651
Phone (801) 465-7000

1221 S Valley Grove Way
Ste 160
Pleasant Grove, UT 84062
Phone (801) 447-7189

333 W 2230 N
Ste 225
Provo, UT 84604
Phone (385) 223-8862

737 S 1300 E
Salt Lake City, UT 84102
Phone (801) 582-5104

8789 S Highland Dr
Ste 300
Sandy, UT 84093
Phone (385) 787-1550

1216 E 1300 S
Slc, UT 84105
Phone (801) 478-8965

770 E 800 N Ste 772
Spanish Fork, UT 84660

4293 S 2700 W
Taylorsville, UT 84129
Phone (385) 308-8750

323 N Main St
Tooele, UT 84074
Phone (435) 233-7900

85 E 2000 N
Tooele, UT 84074
Phone (435) 843-2000

801 N 500 W
Ste 101
West Bountiful, UT 84010
Phone (770) 634-4603

598 W 900 S
Ste 220
Woods Cross, UT 84010
Phone (801) 693-2310

598 W 900 S
Ste 230
Woods Cross, UT 84010
Phone (385) 403-0410

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.mandispens@154909.advancedmd-direct.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1073192357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742353",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MEDICAL DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104908",
            "telephone_number": "801-299-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 Errecart Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Elko",
            "state": "NV",
            "postal_code": "898018337",
            "country_code": "US",
            "telephone_number": "801-477-7189",
            "fax_number": "888-745-9274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1188 Bishop St Ste 3005",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968133312",
            "country_code": "US",
            "telephone_number": "808-745-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 S Valley Grove Way Ste 160",
            "address_purpose": "LOCATION",
            "city": "Pleasant Grove",
            "state": "UT",
            "postal_code": "840626758",
            "country_code": "US",
            "telephone_number": "801-477-7189",
            "fax_number": "888-745-9274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENS",
        "first_name": "MANDI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "5137126-8900",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-5627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.