Organization Active NPI

Page Nelson Therapy PLLC

  • Marriage & Family Therapist
  • Moab, UT
National Provider Identifier
1619785862
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PAGE NELSON THERAPY PLLC
Practice address
440 McKay PL
Moab, UT 84532-2945
Phone
(443) 739-7706
NPI assigned
Dec 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Elizabeth Nelson, LMFTNPI 1477182913
Title
Member
Phone
(443) 739-7706

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

440 McKay PL
Moab, UT 84532-2945

Mailing address

440 McKay PL
Moab, UT 84532-2945
Phone (443) 739-7706

Other practice location 1

150 E Center St # 207
Moab, UT 84532-2430
Phone (443) 739-7706

National Provider Directory

National Provider Directory

Locations

150 E Center St
#207
Moab, UT 84532
Phone (443) 739-7706

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1619785862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MCKAY PL",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322945",
            "telephone_number": "443-739-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MCKAY PL",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322945",
            "telephone_number": "443-739-7706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Center St # 207",
            "address_purpose": "LOCATION",
            "city": "Moab",
            "state": "UT",
            "postal_code": "845322430",
            "country_code": "US",
            "telephone_number": "443-739-7706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAGE NELSON THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "443-739-7706",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.