Active NPI
Mt Nebo Mental Health
- Mental Health Counselor
- Payson, UT
National Provider Identifier
1205466273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucinda Berge, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Counselor
- Provo, UT
- NPI 1356642250
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
- Mountain View Hospital, Inc. (Mountain View Hospital)
- Mountain View Womens Care, Inc
- Mountainlands Community Health Center, Inc (Mountainlands Pharmacy - Payson)
- Mountainlands Community Health Center, Inc
- Mountainlands Community Health Center, Inc
- Dana H Munn, D.O.
- Jessica Selu Murdoch, ATC
- MVH Professional Services LLC
- My USA Health Services LLC
- My USA Medical Supplies LLC
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.