Central Utah Mental Health
Organization Active NPI Mental Health Counselor · Nephi, UT
NPI 1679588024 · NPPES record last updated Sep 5, 2008
Key facts
- NPI
- 1679588024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 11195 (UT)
- Legal business name
- CENTRAL UTAH MENTAL HEALTH
- Practice address
- 656 N Main St
Nephi, UT 84648-1123 - Phone
- (435) 623-1456
- Fax
- (435) 623-1127
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Farrle Marx
- Title
- Financial Officer
- Phone
- (435) 462-2416
Other NPIs on the same Medicare enrollment 5
Practitioners 13
-
Melvin Raun Child, P.A.
-
Sherry Jean Christensen, CPCI
-
Sara J Cristie, LCSW
-
Arleen Cromwell, PH. D.
-
Clark B. Holladay, LCSW
-
Jane G. Johnson, LCSW
-
Chet Riley Ludlow, CSWI
-
Dawn M Miller, LCSW
-
Earl Merrill Shaw, LSAC
-
Renae G. Singletary, LCSW
-
Michael L. Smith, M.D.
-
Debbie Sperry, CASE MANAGER
-
James A Miller Jr., M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000998 | UT | Part B Supplier - Clinic/Group Practice | 6305743618 |
Receives reassigned benefits from 28 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Nephi, UT; Richfield, UT; Fillmore, UT; Ephraim, UT; Delta, UT |
National Provider Directory
Locations
656 N Main St
Nephi, UT 84648
Phone (435) 623-1456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 11195 | UT | Yes |
Addresses
Primary practice location
656 N Main St
Nephi, UT 84648-1123
Mailing address
255 W Main St
Mt Pleasant, UT 84647-1331
Phone (435) 462-2416
Other names
- Central Utah Counseling Center
Other providers in Nephi, UT
- Emma Elizabeth Brooks
- Daniel Elling Brown
- Canyon Hills Health Care Center, Inc.
- Jadie R Carter
- Cascade Foot and Ankle Clinic PC
- Central Utah Mental Health Sa
- Central Utah Radiology, PC
- Central Valley Medical Center
- Central Valley Medical Center
- Central Valley Medical Center
All providers in Nephi, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.