Organization Active NPI

Her Wellness Therapy, PLLC

  • Mental Health Counselor
  • Millcreek, UT
National Provider Identifier
1275412637
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HER WELLNESS THERAPY, PLLC
Practice address
4568 S Highland Dr Ste 380
Millcreek, UT 84117-4213
Phone
(385) 272-8906
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Elizabeth BosenNPI 1598352601
Title
Ceo, Practitioner
Phone
(385) 272-8906

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4568 S Highland Dr Ste 380
Millcreek, UT 84117-4213

Mailing address

4568 S Highland Dr Ste 380
Millcreek, UT 84117-4213
Phone (385) 272-8906

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.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1275412637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 S HIGHLAND DR STE 380",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841174213",
            "telephone_number": "385-272-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 S HIGHLAND DR STE 380",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841174213",
            "telephone_number": "385-272-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER WELLNESS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "BOSEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO, PRACTITIONER",
        "authorized_official_telephone_number": "385-272-8906"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millcreek, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.