Organization Active NPI

High Desert Mental Health & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1710749833
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Aug 31, 2024

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)CodeLicenseStatePrimary
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 PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.