Active NPI
Telos Residential Treatment LLC
- Mental Illness Community Based Residential Treatment Facility
- Orem, UT
National Provider Identifier
1528223195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 12164
- Legal business name
- TELOS RESIDENTIAL TREATMENT LLC
- Practice address
- 870 W Center St
Orem, UT 84057-5202 - Phone
- (801) 426-8800
- NPI assigned
- Jul 23, 2008
- Last updated
- Oct 5, 2026
- 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
- Anthony Mosier, LMFT
- Title
- Coo
- Phone
- (801) 380-8830
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 12164 | UT | Primary |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | NU |
Addresses
Primary practice location
870 W Center St
Orem, UT 84057-5202
Mailing address
870 W Center St
Orem, UT 84057-5202
Phone (801) 426-8800
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D1069589 | Telos Residential Treatment Center | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Telos
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Residential Treatment Facility
- Orem, UT
- NPI 1508309287
-
- Mental Illness Community Based Residential Treatment Facility
- Orem, UT
- NPI 1629513833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1528223195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 W CENTER ST",
"city": "OREM",
"state": "UT",
"postal_code": "840575202",
"telephone_number": "801-426-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 W CENTER ST",
"city": "OREM",
"state": "UT",
"postal_code": "840575202",
"telephone_number": "801-426-8800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELOS RESIDENTIAL TREATMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-23",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A",
"authorized_official_last_name": "MOSIER",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "801-380-8830",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "UT",
"license": "12164",
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.