Organization Active NPI

Mt Nebo Mental Health

  • Mental Health Counselor
  • Payson, UT
National Provider Identifier
1205466273
Registry record updated Jan 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MT NEBO MENTAL HEALTH
Practice address
1172 E 100 N Ste 10
Payson, UT 84651-1691
Phone
(801) 403-4959
NPI assigned
Jan 18, 2020
Last updated
Jan 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2020

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

Authorized official

Name
Lucinda Berge, LMHCNPI 1356642250
Title
Owner
Phone
(801) 403-4959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1172 E 100 N Ste 10
Payson, UT 84651-1691

Mailing address

1108 W 1290 S
Payson, UT 84651-5770
Phone (801) 403-4959

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579305600000",
    "number": "1205466273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W 1290 S",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846515770",
            "telephone_number": "801-403-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 E 100 N STE 10",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511691",
            "telephone_number": "801-403-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT NEBO MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A",
        "authorized_official_last_name": "BERGE",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-403-4959",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; 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.