Daniel Evan Colver, DBH, M.A., LMFT
Individual provider Active NPI Marriage & Family Therapist · Roosevelt, UT
NPI 1780049908 · NPPES record last updated Feb 14, 2019
Key facts
- NPI
- 1780049908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 8891137-3902 (UT)
- Practice address
- 210 W 300 N Ste 350
Roosevelt, UT 84066-2336 - Phone
- (435) 247-4279
- NPI assigned
- Dec 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
250 W 300
Roosevelt, UT 84066-2336
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8891137-3902 | UT | MD | Marriage & Family Therapist |
| 8891137-3904 | UT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 8891137-3904 | UT | |
| Marriage & Family Therapist | 106H00000X | 8891137-3902 | UT | Yes |
Addresses
Primary practice location
210 W 300 N Ste 350
Roosevelt, UT 84066-2336
Mailing address
210 W 300 N Ste 350
Roosevelt, UT 84066-2336
Phone (435) 247-4279
Other providers in Roosevelt, UT
- Michele Catten
- Cedar Ridge, Inc.
- Mark Chamberlain
- Cory Alan Christensen
- Kathryn Olsen Cockerham
- County of Duchesne
- Brent E Crane
- Crna Coverage, Inc
- Custom Medical Services
- Crispin Dalsing
All providers in Roosevelt, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.