NPIMap

Organization Active NPI

Central Utah Mental Health

Doing business as Central Utah Counseling Center

  • Mental Health Counselor
  • Nephi, UT
National Provider Identifier
1679588024
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11195 Issued in UT
Legal business name
CENTRAL UTAH MENTAL HEALTH
Doing business as
Central Utah Counseling Center
Practice address
656 N Main St
Nephi, UT 84648-1123
Phone
(435) 623-1456
Fax
(435) 623-1127
NPI assigned
Jul 31, 2006
Last updated
Sep 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Farrle Marx
Title
Financial Officer
Phone
(435) 462-2416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 11195 UT Primary

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 1

  • Central Utah Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

152 N 400 W
Ephraim, UT 84627
Phone (435) 283-8400

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1679588024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MAIN ST",
            "city": "MT PLEASANT",
            "state": "UT",
            "postal_code": "846471331",
            "telephone_number": "435-462-2416",
            "fax_number": "435-462-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 N MAIN ST",
            "city": "NEPHI",
            "state": "UT",
            "postal_code": "846481123",
            "telephone_number": "435-623-1456",
            "fax_number": "435-623-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL UTAH MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "FARRLE",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "435-462-2416"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Utah Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nephi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.