Active NPI
R. Quinn Nelson, M.S., MFT
- Marriage & Family Therapist
- Price, UT
National Provider Identifier
1114078706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 290014-3902
- Practice address
- 630 W Price River Dr
Price, UT 84501-2839 - Phone
- (435) 637-2991
- Fax
- (435) 637-1775
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 290014-3902 | UT | Primary |
Addresses
Primary practice location
630 W Price River Dr
Price, UT 84501-2839
Mailing address
1397 N 1000 W
Price, UT 84501-4056
Phone (435) 637-6046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290014-3902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba LDS Family Services UT Price Agency
- Community/Behavioral Health Agency
- Price, UT
- NPI 1912126954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114078706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397 N 1000 W",
"city": "PRICE",
"state": "UT",
"postal_code": "845014056",
"telephone_number": "435-637-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W PRICE RIVER DR",
"city": "PRICE",
"state": "UT",
"postal_code": "845012839",
"telephone_number": "435-637-2991",
"fax_number": "435-637-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "R.",
"middle_name": "QUINN",
"credential": "M.S., MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "290014-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.