Timothy Bryson Jindra, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7025125-6004 Issued in UT

Practice address

721 N 530 E
Orem, UT 84097-4105

Phone

(801) 358-0967

NPI assigned

Mar 7, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• East Mountain Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orem, UT
  • NPI 1487068979
  NPD (past) Authorized official

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154021129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8193 S 1330 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936611",
            "telephone_number": "801-891-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N 530 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974105",
            "telephone_number": "801-358-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDRA",
        "first_name": "TIMOTHY",
        "middle_name": "BRYSON",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7025125-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Jewkes
• Bailey Ann Jewkes
• Jamon Jex
• JH Homes LLC
• Barbara Jibson
• JMC Counseling LLC
• JN Wadsworth PLLC
• Daniel Nathan Johansen
• Darren Johansen, LPC
• Makenna Johanson

• Mental Health Counselor in Orem, UT
• Providers in Orem, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.