Active NPI
Paz Wellness
- Mental Health Counselor
- Providence, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PAZ WELLNESS
- Practice address
- 169 N Gateway Dr # 110
Providence, UT 84332-9707 - Phone
- (435) 994-7500
- NPI assigned
- Nov 3, 2023
- Last updated
- Nov 3, 2023
- 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
- Ryan Stolworthy, MD
- Title
- Co-Founder
- Phone
- (435) 757-7534
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 | NU | Primary |
Addresses
Primary practice location
169 N Gateway Dr # 110
Providence, UT 84332-9707
Mailing address
PO Box 369
Hyde Park, UT 84318-0369
Phone (435) 994-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
965 S 100 W
Ste 203
Logan, UT 84321
Phone (435) 752-1976
169 N Gateway Dr
Ste 110
Providence, UT 84332
Phone (435) 760-7763
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Logan, UT
- NPI 1417981234
-
- Clinical Social Worker
- Logan, UT
- NPI 1659192821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1306619044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "HYDE PARK",
"state": "UT",
"postal_code": "843180369",
"telephone_number": "435-994-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 N GATEWAY DR # 110",
"city": "PROVIDENCE",
"state": "UT",
"postal_code": "843329707",
"telephone_number": "435-994-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAZ WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "STOLWORTHY",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "435-757-7534",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.