Neighborhood Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NEIGHBORHOOD COUNSELING

Practice address

3355 N University Ave Ste 100
Provo, UT 84604-6618

Phone

(801) 427-1054

NPI assigned

Dec 2, 2020

Organization subpart

No

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

Authorized official

Name

Annabella Z Hagen, LCSW

Title

Clinical Director

Phone

(801) 739-0480

Specialties & licenses 1

Addresses

Other names 1

• Mindset Family Therapy Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Lynn Elizabeth Wendt

  • Clinical Social Worker
  • Provo, UT
  • NPI 1033704523
  NPD

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1346845716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 N 1820 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047201",
            "telephone_number": "801-739-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 N UNIVERSITY AVE STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046618",
            "telephone_number": "801-427-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2021-11-12",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "ANNABELLA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-739-0480",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Provo",
            "affiliation": "N",
            "endpointDescription": "SIMPLE PRACTICE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3507 N University Ave Ste 150",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846046639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mindset Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindset Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyra Neal, DMD
• Anson Gregory Nebeker, DO
• Conrad Nebeker
• Madelyn May Neeley
• Jack Leonard Neiger, LCSW
• Karl D Neilson, MD
• Michael K Neilson, D.O.
• Abigail Nelson
• Amanda Nelson, RDN
• Amber Nelson, LAT, ATC

• Mental Health Counselor in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.