Jeremy Conetah

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1140 W 500 S Ste 9
Vernal, UT 84078-2912

Phone

(435) 789-6300

Fax

(435) 789-6357

NPI assigned

Apr 25, 2022

Last updated

Apr 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uintah Basin Tri-County Mental Health and Substance Abuse Local AuthorGroup PAC ID 9133183072, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Uintah Basin Tri-County Mental Health and Substance Abuse Local Author

  dba Northeastern Counseling Center

  • Community/Behavioral Health Agency
  • Vernal, UT
  • NPI 1891873121
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1174267215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 W 13100 S",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966921",
            "telephone_number": "801-349-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 500 S STE 9",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782912",
            "telephone_number": "435-789-6300",
            "fax_number": "435-789-6357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5629 W 13100 S",
            "address_purpose": "LOCATION",
            "city": "Herriman",
            "state": "UT",
            "postal_code": "840966921",
            "country_code": "US",
            "telephone_number": "801-349-9606 x332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONETAH",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Christensen, DO
• Amber Clayton
• Jennifer Cochran
• Aimee Collins
• Kathryn Colver
• Council on Aging Golden Age Center
• Charles L Crane, LMFT
• Jonathan E Crane, LCSW
• Stacy Dawn Crane, ACMHC
• Jerica Kent Curtis

• Marriage & Family Therapist in Vernal, UT
• Providers in Vernal, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.