Active NPI
Be Well Mental Health Therapy, LLC
- Counselor
- Park City, UT
National Provider Identifier
1740919877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- BE WELL MENTAL HEALTH THERAPY, LLC
- Practice address
- 2700 Rasmussen Rd Ste 220
Park City, UT 84098-6450 - Phone
- (435) 962-0644
- NPI assigned
- Jun 6, 2022
- 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
- Janae G. Sanders, CMHC
- Title
- Owner
- Phone
- (435) 962-0644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2700 Rasmussen Rd Ste 220
Park City, UT 84098-6450
Mailing address
337 Big Dutch Dr
Kamas, UT 84036-9346
Phone (435) 962-0644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2700 Rasmussen Rd
Ste 220
Park City, UT 84098
Phone (435) 962-0644
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Park City, UT
- NPI 1720635550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654473600000",
"number": "1740919877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 BIG DUTCH DR",
"city": "KAMAS",
"state": "UT",
"postal_code": "840369346",
"telephone_number": "435-962-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 RASMUSSEN RD STE 220",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840986450",
"telephone_number": "435-962-0644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE WELL MENTAL HEALTH THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "JANAE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "435-962-0644",
"authorized_official_credential": "CMHC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.