Individual provider Active NPI

Garn Loveland, PHYSICAL THERAPIST

  • Mental Health Counselor
  • Provo, UT
National Provider Identifier
1275624793
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
277510-6004 Issued in UT
Practice address
1750 N Wymount Terrace Dr
2300 SHC
Provo, UT 84602
Phone
(801) 356-0014
Fax
(801) 788-4842
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3443 OR
Mental Health Counselor 101YM0800X 277510-6004 UT Primary

Addresses

Primary practice location

1750 N Wymount Terrace Dr
2300 SHC
Provo, UT 84602

Mailing address

3319 N University Ave Ste 100
Provo, UT 84604-4447
Phone (503) 799-6743

Other identifiers 1

IdentifierTypeStateIssuer
181519OtherOROMAP

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251104002621 UT Practitioner - Mental Health Counselor 3870789050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Beacon Therapy of UtahGroup PAC ID 3577917178, 6 clinicians

Practice addresses (Care Compare)

5677 S Redwood Rd
Unit 18
Taylorsville, UT 84123-5454
Phone (801) 742-1011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277510-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Therapy of Utah Mental Health CurrentSince Oct 21, 2025 Accepting new patients
Canyon Counseling Center, Inc CurrentSince Jan 19, 2025 Accepting new patients
Palisades Counseling LLC CurrentSince Jan 19, 2025 Accepting new patients
Brigham Young University Past Accepting new patients

Locations

3319 N University Ave
Ste 100
Provo, UT 84604
Phone (801) 356-0014

1750 N Wymount Terrace Dr
Provo, UT 84602
Phone (801) 422-2771

1750 N Wymount Terrace Dr
#2300
Provo, UT 84602
Phone (801) 422-2771

5677 S Redwood Rd
Unit 18
Taylorsville, UT 84123
Phone (385) 526-5996

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1275624793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 N UNIVERSITY AVE STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044447",
            "telephone_number": "503-799-6743",
            "fax_number": "801-788-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N WYMOUNT TERRACE DR",
            "address_2": "2300 SHC",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84602",
            "telephone_number": "801-356-0014",
            "fax_number": "801-788-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELAND",
        "first_name": "GARN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3443",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "277510-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "181519",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.