Kasama Health & Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KASAMA HEALTH & WELLNESS

Practice address

1034 Rsi Dr Unit 120
Logan, UT 84321-2203

Phone

(435) 512-7825

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Liani Eccles, APRN

Title

Pmhnp

Phone

(435) 962-0130

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1689435281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 E 2000 N",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843412163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 RSI DR UNIT 120",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843212203",
            "telephone_number": "435-512-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASAMA HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "ECCLES",
        "authorized_official_first_name": "LIANI",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "435-962-0130",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Elaine Jorgensen, M.S.
• Joseph Anderson, D.C., PLLC
• Paul Raymond Joslyn, BCBA-D
• Chandler James Judd
• Savan Kabaria
• Simon Peter Kayiki
• Kayla Keck, CSW
• Thomas M Keele
• Melissa Keller Adamson, LCSW
• Kelly W Hubbard MD PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Logan, UT
• Providers in Logan, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.