Active NPI
High Desert Mental Health & Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1710749833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HIGH DESERT MENTAL HEALTH & WELLNESS
- Practice address
- 774 E 2100 S Ste 424
Salt Lake City, UT 84106-1863 - Phone
- (801) 251-6736
- Fax
- (949) 703-7340
- NPI assigned
- Jan 24, 2024
- 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
- Elisabeth Warner, MSN, CAS, PMHNP-BC
- Title
- Owner, Clinical Provider
- Phone
- (801) 251-6736
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
774 E 2100 S Ste 424
Salt Lake City, UT 84106-1863
Mailing address
774 E 2100 S Ste 424
Salt Lake City, UT 84106-1863
Phone (801) 251-6736
Other practice location 1
774 E 2100 S Ste 424
Salt Lake City, UT 84106-1863
Phone (801) 251-6736
Other names 1
- Telehealth at High Desert Mental Health & Wellness
National Provider Directory
National Provider DirectoryLocations
774 E 2100 S
Ste 424
Salt Lake City, UT 84106
Phone (801) 251-6736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725062400000",
"number": "1710749833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 E 2100 S STE 424",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061863",
"telephone_number": "801-251-6736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 E 2100 S STE 424",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061863",
"telephone_number": "801-251-6736",
"fax_number": "949-703-7340"
}
],
"practiceLocations": [
{
"address_1": "774 E 2100 S Ste 424",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841061863",
"country_code": "US",
"telephone_number": "801-251-6736",
"fax_number": "949-703-7340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HIGH DESERT MENTAL HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-08-31",
"certification_date": "2024-08-31",
"status": "A",
"authorized_official_last_name": "WARNER",
"authorized_official_first_name": "ELISABETH",
"authorized_official_title_or_position": "OWNER, CLINICAL PROVIDER",
"authorized_official_telephone_number": "801-251-6736",
"authorized_official_credential": "MSN, CAS, PMHNP-BC"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Telehealth at High Desert Mental Health & Wellness",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.