Centered Behavioral Health & Wellness PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Centerville, UT
NPI 1124839808 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1124839808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- CENTERED BEHAVIORAL HEALTH & WELLNESS PLLC
- Practice address
- 576 Churchill Dr
Centerville, UT 84014-2614 - Phone
- (801) 867-5693
- NPI assigned
- Jan 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Spencer Nicholaus Lowe, DNP
- Title
- Medical Director/Aprn
- Phone
- (801) 867-5693
Practitioners 1
-
Spencer Nicholaus Lowe, DNP, FNP-C, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251008003163 | UT | Part B Supplier - Clinic/Group Practice | 7315444007 |
Receives reassigned benefits from 1 practitioner Practice locations: Bountiful, UT; Woods Cross, UT |
National Provider Directory
Locations
1290 S 500 W
Ste 300
Woods Cross, UT 84010
Phone (435) 757-9245
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
576 Churchill Dr
Centerville, UT 84014-2614
Mailing address
576 Churchill Dr
Centerville, UT 84014-2614
Phone (801) 867-5693
Other providers in Centerville, UT
- Melanie Brown
- Victoria Schild Brown
- Hope Nicole Burgess
- Tracy Burnham
- Jaquelinne Canas-Rodriguez
- Centerville Dental Group, LLP
- Centerville Medical Center, Inc.
- Timothy Champlin
- Cherry Creek Assisted Living, LLC
- Lindsey Clark
All providers in Centerville, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.