Organization Active NPI

Be Well Mental Health Therapy, LLC

  • Counselor
  • Park City, UT
National Provider Identifier
1740919877
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Janae G. Sanders, CMHCNPI 1720635550
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)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20260527002868 UT Part B Supplier - Clinic/Group Practice 7618447038 Receives reassigned benefits from 1 practitioner
Practice locations: Kamas, UT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.