NPIMap

Organization Active NPI

Valley Mental Health Incorporated

  • Home Health Registered Nurse
  • Salt Lake City, UT
National Provider Identifier
1295792117
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
VALLEY MENTAL HEALTH INCORPORATED
Practice address
4460 Highland Dr
Suite 300
Salt Lake City, UT 84124-3543
Phone
(801) 273-6366
Fax
(801) 273-6363
NPI assigned
Apr 26, 2006
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Ms. Gary Larcenaire
Title
Ceo/President
Phone
(801) 263-7100

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X UT
Professional Counselor 101YP2500X UT
Social Worker 104100000X UT
Clinical Social Worker 1041C0700X UT
Case Management Registered Nurse 163WC0400X UT
Home Health Registered Nurse 163WH0200X UT Primary

Addresses

Primary practice location

4460 Highland Dr
Suite 300
Salt Lake City, UT 84124-3543

Mailing address

5965 S 900 E
Suite 420
Salt Lake City, UT 84121-1720
Phone (801) 263-7100

Other names 1

  • VMH - FLEXCARE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000937 UT Part B Supplier - Clinic/Group Practice 0042121196 Receives reassigned benefits from 129 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1295792117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 S 900 E",
            "address_2": "SUITE 420",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211720",
            "telephone_number": "801-263-7100",
            "fax_number": "801-263-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 HIGHLAND DR",
            "address_2": "SUITE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243543",
            "telephone_number": "801-273-6366",
            "fax_number": "801-273-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MENTAL HEALTH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "LARCENAIRE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "801-263-7100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VMH - FLEXCARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.