Active NPI
Elevated Mental Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Park City, UT
National Provider Identifier
1801786629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ELEVATED MENTAL HEALTH LLC
- Practice address
- 1910 Prospector Ave Ste 201B
Park City, UT 84060-7223 - Phone
- (435) 513-4637
- NPI assigned
- Jul 3, 2025
- 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
- Cade Benjamin Woolsey, PMHNP
- Title
- Owner/Authorized Official
- Phone
- (435) 513-4637
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1910 Prospector Ave Ste 201B
Park City, UT 84060-7223
Mailing address
1910 Prospector Ave Ste 201B
Park City, UT 84060-7223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1910 Prospector Ave
Ste 201B
Park City, UT 84060
Phone (435) 513-4637
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": "1751500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751500800000",
"number": "1801786629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 PROSPECTOR AVE STE 201B",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840607223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 PROSPECTOR AVE STE 201B",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840607223",
"telephone_number": "435-513-4637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATED MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A",
"authorized_official_last_name": "WOOLSEY",
"authorized_official_first_name": "CADE",
"authorized_official_middle_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "435-513-4637",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"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 Jul 3, 2025; 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.