Organization Active NPI

Keys to Mending Therapy and Wellness, PLLC

  • Clinical Social Worker
  • American Fork, UT
National Provider Identifier
1386552529
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KEYS TO MENDING THERAPY AND WELLNESS, PLLC
Practice address
21 E 100 N
American Fork, UT 84003-1651
Phone
(385) 374-9708
NPI assigned
Aug 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Authorized official

Name
Jericho Brent Avery, LCSW
Title
Owner
Phone
(385) 374-9708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

21 E 100 N
American Fork, UT 84003-1651

Mailing address

2214 E Loch Lomond Dr
Saratoga Springs, UT 84043-3911
Phone (385) 374-9708

NPI Registry JSON

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

{
    "created_epoch": "1787961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1386552529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 E LOCH LOMOND DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840433911",
            "telephone_number": "385-374-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E 100 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031651",
            "telephone_number": "385-374-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS TO MENDING THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-29",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "JERICHO",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-374-9708",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.